Healthcare Provider Details

I. General information

NPI: 1316331457
Provider Name (Legal Business Name): MICHAEL LENN YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

550 1ST AVE
NEW YORK NY
10016-6402
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-6238
  • Fax: 212-263-6497
Mailing address:
  • Phone: 212-263-6238
  • Fax: 212-263-6497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number286725
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: