Individual
LORETTA ANJANETTE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11235 FRANCIS LEWIS BLVD FL 1, QUEENS VILLAGE, NY 11429-2234
(917) 887-1157
Mailing address
11235 FRANCIS LEWIS BLVD FL 1, QUEENS VILLAGE, NY 11429-2234
(917) 887-1157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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