Provider Demographics
NPI:1669448528
Name:RHEE, ROBERT YOUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:YOUNG
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KUN
Other - Middle Name:YOUNG
Other - Last Name:RHEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2916
Mailing Address - Country:US
Mailing Address - Phone:718-283-7957
Mailing Address - Fax:718-283-8599
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-7957
Practice Address - Fax:718-283-8599
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055803L2086S0129X
NY1791302086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001541847Medicaid
NY1588352Medicaid
PA783375FKYMedicare ID - Type Unspecified
NYA400064741Medicare PIN
NY1588352Medicaid