Healthcare Provider Details

I. General information

NPI: 1518459304
Provider Name (Legal Business Name): DANIEL YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 ELM ST FL 3
PROVIDENCE RI
02903-4626
US

IV. Provider business mailing address

110 ELM ST FL 3
PROVIDENCE RI
02903-4626
US

V. Phone/Fax

Practice location:
  • Phone: 401-537-7241
  • Fax: 401-537-7241
Mailing address:
  • Phone: 401-537-7241
  • Fax: 401-537-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLP04346
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: