Individual
DENISE M. YOUNG-AJOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(347) 943-8131
Mailing address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(347) 943-8131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA08025500
NJ
207Q00000X
Family Medicine Physician
Primary
MD-14650
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000278218
HMSA BILLING NUMBER
HI
05
—
0106992
—
NJ
01
—
0725268
CIGNA
—
01
—
1454540
AETNA
—
01
—
2673709
UNITED HEALTHCARE
—
01
—
3K6389
HEALTH NET
—
01
—
4865P1
EMPIRE BC/BS NY
—
05
—
622565-02
—
HI
01
—
P3755509
OXFORD
—
Enumeration date
05/19/2006
Last updated
08/15/2023
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