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Individual

DR. ANDREW MITCHELL YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
801 W STATE ST, OLEAN, NY 14760-2245
(716) 372-1236
(716) 372-1915
Mailing address
2211 W STATE ST STE 122, OLEAN, NY 14760-1951
(716) 372-1236
(716) 372-1915

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010252
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000588372005
BLUE CROSS BLUE SHIELD
NY
01
0007344368
ACM
NY
Enumeration date
10/25/2006
Last updated
01/26/2021
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