Provider Demographics
NPI:1760778294
Name:RHEE, MEEYOUNG (DMD)
Entity Type:Individual
Prefix:
First Name:MEEYOUNG
Middle Name:
Last Name:RHEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16117 HORACE HARDING EXPY FL 3
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1426
Mailing Address - Country:US
Mailing Address - Phone:718-916-5123
Mailing Address - Fax:
Practice Address - Street 1:16117 HORACE HARDING EXPY FL 3
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-1426
Practice Address - Country:US
Practice Address - Phone:718-916-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056548122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist