Individual
JESSE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S3
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4000
Mailing address
133 PINE RIDGE II, HALFMOON, NY 12065-5679
(518) 542-1127
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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