Healthcare Provider Details

I. General information

NPI: 1427014711
Provider Name (Legal Business Name): JOSEPH YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 08/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

161 W 74TH ST
NEW YORK NY
10023-2217
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-0050
  • Fax:
Mailing address:
  • Phone: 212-263-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number124677
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: