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Individual

MR. PAUL YOUNG I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7 ATLANTIC AVE, PORT JEFFERSON STATION, NY 11776-2107
(631) 804-9007
Mailing address
7 ATLANTIC AVE, PORT JEFFERSON STATION, NY 11776-2107
(631) 804-9007

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NY

Other

Enumeration date
01/23/2017
Last updated
01/23/2017
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