Individual
LORI YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 JAMES LN, LEVITTOWN, NY 11756-1903
(516) 796-4199
Mailing address
12 JAMES LN, LEVITTOWN, NY 11756-1903
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014765
NY
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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