Provider Demographics
NPI:1487698999
Name:YEE, ALVIS (MD)
Entity type:Individual
Prefix:DR
First Name:ALVIS
Middle Name:
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:139 HAVEN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1131
Mailing Address - Country:US
Mailing Address - Phone:212-740-1271
Mailing Address - Fax:212-740-2144
Practice Address - Street 1:139 HAVEN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1131
Practice Address - Country:US
Practice Address - Phone:212-740-1271
Practice Address - Fax:212-740-2144
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186252207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG00787Medicare UPIN
NY024381Medicare PIN