Individual
LISA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
74 SAINT MARKS PL, NEW YORK, NY 10003-8129
(212) 477-1565
Mailing address
80 HILLSPOINT RD, WESTPORT, CT 06880-5111
(845) 705-5334
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
741702
NY
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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