Individual
DR. RICHARD E YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
89 MAIN ST, NORTHPORT, NY 11768-1742
(631) 757-6190
(631) 757-4759
Mailing address
89 MAIN ST, NORTHPORT, NY 11768-1742
(631) 757-6190
(631) 757-4759
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004955-1
NY
Other
Enumeration date
11/28/2006
Last updated
04/20/2011
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