Organization
FOREVER YOUNG MEDICAL SERVICES P.A.
Active
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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