Individual
MAE EWING YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
296135
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
296135
NY
207XS0106X
Orthopaedic Hand Surgery Physician
37884
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378843
—
SC
Enumeration date
04/15/2009
Last updated
10/19/2020
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