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Individual

DR. CHAINLLIE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
131-72 40TH ROAD, FLUSHING, NY 11354
(718) 886-7373
(718) 661-6035
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
(122) 262-2289

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
258747
NY
2084P0800X
Psychiatry Physician
263895
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03674224
NY
Enumeration date
05/12/2008
Last updated
06/23/2023
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