| Marianne Young Physician Pc | |
|
175 Jericho Tpke Syosset NY 11791-4532 | |
| (631) 249-2242 | |
| Not Available |
| Full Name | Marianne Young Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 175 Jericho Tpke, Syosset, New York |
| Authorized Official Name and Position | Marianne Young (PRESIDENT) |
| Authorized Official Contact | 6312492242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marianne Young Physician Pc 172 Harrison Ave Mineola NY 11501-3968 Ph: (516) 248-3685 | Marianne Young Physician Pc 175 Jericho Tpke Syosset NY 11791-4532 Ph: (631) 249-2242 |
| NPI Number | 1073612644 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073612644 | NPI | - | NPPES |
| 02162196 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 208596 (New York) | Primary |
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