Healthcare Provider Details
I. General information
NPI: 1013496256
Provider Name (Legal Business Name): DR. KAR-YUE ALVIN YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6501 LOISDALE CT
SPRINGFIELD VA
22150-1826
US
IV. Provider business mailing address
250 S WHITING ST APT 607
ALEXANDRIA VA
22304-3649
US
V. Phone/Fax
- Phone: 703-434-1066
- Fax:
- Phone: 919-699-6092
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 0202217045 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: