Individual
YE SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
345 E 24TH ST # 3W, NEW YORK, NY 10010-4020
(212) 992-7040
Mailing address
4545 CENTER BLVD APT 2002, LONG ISLAND CITY, NY 11109-5940
(347) 933-3424
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
000122
NY
1223P0300X
Periodontics
0401417635
VA
1223P0300X
Periodontics
AD.0000533
CO
Other
Enumeration date
01/05/2022
Last updated
02/13/2026
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