Provider Demographics
NPI:1700902236
Name:MAW, KYEE TINT (MD)
Entity Type:Individual
Prefix:DR
First Name:KYEE
Middle Name:TINT
Last Name:MAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MAYFLOWER CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-3936
Mailing Address - Country:US
Mailing Address - Phone:203-612-1785
Mailing Address - Fax:
Practice Address - Street 1:40 MAYFLOWER CIR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-3936
Practice Address - Country:US
Practice Address - Phone:203-612-1785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139447282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital