Provider Demographics
NPI:1750509022
Name:LIGHTHOUSE PEDIATRICS, PC
Entity Type:Organization
Organization Name:LIGHTHOUSE PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MEE YEE
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:ENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-781-0800
Mailing Address - Street 1:160 BENNETT AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3803
Mailing Address - Country:US
Mailing Address - Phone:212-781-0800
Mailing Address - Fax:212-928-2161
Practice Address - Street 1:160 BENNETT AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3803
Practice Address - Country:US
Practice Address - Phone:212-781-0800
Practice Address - Fax:212-928-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203961208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty