Healthcare Provider Details

I. General information

NPI: 1346125457
Provider Name (Legal Business Name): KAYLA MARIE YEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MOTT ST RM 204
NEW YORK NY
10013-5003
US

IV. Provider business mailing address

20 CONFUCIUS PLZ APT 33B
NEW YORK NY
10002-6727
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-6002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number383842
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: