Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 050476 | NY |
NPI | 1093728768 |
---|---|
Provider Name | Dr. Julie S Wee |
First Address | Bronx, NY 10468-1247 |
Second Address | Bronx, NY 10468-1247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 11/12/2008 |