Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 233045 | NY |
N | 207PP0204X | Pediatric Emergency Physician | A100474 | CA |
NPI | 1255522926 |
---|---|
Provider Name | Dr. Ee Tein Tay |
First Address | New York, NY 10016 |
Second Address | New York, NY 10016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2007 |
Last Update Date | 02/04/2021 |