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NPI Code Detail

MEDICARE: MRS. LINDA JAEMIN YOU FNP-C

MEDICARE: MRS. LINDA JAEMIN YOU FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF335479-1NY

General Provider Information

NPI Number : 1225204985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA JAEMIN YOU FNP-C
Provider Business Mailing Address
First Line : PO BOX 8397
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-8397
Country : US
Telephone Number : 718-784-2240
Fax Number : 718-784-0240
Provider Business Practice Location Address
First Line : 2101 41ST AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4801
Country : US
Telephone Number : 718-784-2240
Fax Number : 718-784-0240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2008
Last Update Date : 11/19/2021

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Directions to “ MRS. LINDA JAEMIN YOU FNP-C” Practice Location

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