Healthcare Provider Details

I. General information

NPI: 1801119326
Provider Name (Legal Business Name): KAI C YEE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 COLUMBIA ST
NEW YORK NY
10002-2723
US

IV. Provider business mailing address

2066 E 24TH ST
BROOKLYN NY
11229-2422
US

V. Phone/Fax

Practice location:
  • Phone: 212-533-8120
  • Fax: 212-677-3526
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36837
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: