Provider Demographics
NPI:1962678458
Name:YE, WEI (DO)
Entity type:Individual
Prefix:DR
First Name:WEI
Middle Name:
Last Name:YE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:139 CENTRE ST STE 709
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4557
Mailing Address - Country:US
Mailing Address - Phone:212-965-0496
Mailing Address - Fax:212-965-0496
Practice Address - Street 1:4235 MAIN ST STE 3N
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-961-3800
Practice Address - Fax:718-961-3900
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine