Individual
DEBBIE W YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 RHODES AVE, BAY SHORE, NY 11706-6613
(631) 894-2553
Mailing address
47 RHODES AVE, BAY SHORE, NY 11706-6613
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311892
NY
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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