Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 230838 | NY |
NPI | 1023039005 |
---|---|
Provider Name | Dr. Sue Ann Wee |
First Address | New York, NY 10107-0001 |
Second Address | New York, NY 10107-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 20/01/2011 |