Healthcare Provider Details

I. General information

NPI: 1932214582
Provider Name (Legal Business Name): BRANDON YEE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 BROADWAY #739
NEW YORK NY
10004
US

IV. Provider business mailing address

88-72 62 DRIVE
REGO PARK NY
11374
US

V. Phone/Fax

Practice location:
  • Phone: 212-422-7733
  • Fax: 212-422-3642
Mailing address:
  • Phone: 347-495-1635
  • Fax: 212-422-3642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005616
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: