Provider Demographics
NPI:1164492658
Name:YEE, TOM C (DC)
Entity type:Individual
Prefix:DR
First Name:TOM
Middle Name:C
Last Name:YEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BONAVENTURE AVE
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2103
Mailing Address - Country:US
Mailing Address - Phone:914-674-9257
Mailing Address - Fax:212-571-9733
Practice Address - Street 1:7 CHATHAM SQ
Practice Address - Street 2:SUITE 401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1000
Practice Address - Country:US
Practice Address - Phone:212-571-9733
Practice Address - Fax:212-571-9733
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX53861Medicare ID - Type UnspecifiedPROVIDER NUMBER
NYU28885Medicare UPIN