Individual
CHARMAINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
268 CANAL ST, NEW YORK, NY 10013-3599
(212) 379-6998
(212) 379-6930
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
(212) 226-2289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
284695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04452508
—
NY
Enumeration date
06/06/2013
Last updated
07/03/2019
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