Individual
CANDACE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4898
(212) 606-1225
Mailing address
604 WHITE PLAINS RD APT 2B, EASTCHESTER, NY 10709-5586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22392
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMY1019
—
MA
Enumeration date
08/02/2016
Last updated
03/01/2022
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