Provider Demographics
NPI:1649592445
Name:YEE, AMY M
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:M
Last Name:YEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-2842
Mailing Address - Country:US
Mailing Address - Phone:631-858-0408
Mailing Address - Fax:631-858-0504
Practice Address - Street 1:5001 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2842
Practice Address - Country:US
Practice Address - Phone:631-858-0408
Practice Address - Fax:631-858-0504
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist