Individual
MR. JAMES ERVIN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
9413 FLATLANDS AVE, SUITE 101W, BROOKLYN, NY 11236-3726
(718) 257-6615
Mailing address
9413 FLATLANDS AVE, SUITE 101W, BROOKLYN, NY 11236-3726
(718) 257-6615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307506-1
NY
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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