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Organization

FOREVER YOUNG MEDICAL SERVICES P.A.

Active
Other names
Fountain Life NY
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA WOO (DIRECTOR OF CLINICAL OPERATIONS)
(917) 810-8672
Entity
Organization

Contact information

Practice address
4 WESTCHESTER PARK DR STE 200, WHITE PLAINS, NY 10604-3431
(914) 810-6621
Mailing address
4 WESTCHESTER PARK DR STE 200, WHITE PLAINS, NY 10604-3431
(914) 810-6621

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/21/2023
Last updated
07/21/2023
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