Individual
ANTHONY FENNELL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
927 WILLIS AVE, ALBERTSON, NY 11507-1924
(516) 271-0004
Mailing address
2130 ADAM CLAYTON POWELL JR BLVD APT 5A, NEW YORK, NY 10027-3746
(770) 843-9567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN163001
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
F311930-01
NY
Other
Enumeration date
09/26/2008
Last updated
02/14/2025
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