Individual
RYAN MICHAEL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
50 DYKE RD, WEST SENECA, NY 14224-2514
(716) 984-0606
Mailing address
55 SHENANDOAH RD, BUFFALO, NY 14220-2417
(716) 984-0606
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405303
NY
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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