Individual
MRS. POLLY JANE YOUNG
Active
Individual
MRS. POLLY JANE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
303481
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000403459002
BSH NE NY
NY
05
—
02357431
—
NY
01
—
696035
MVP HEALTHPLAN
NY
Enumeration date
06/30/2006
Last updated
07/07/2021
Update your record
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