MEDICARE: AMY E YOUNG MD

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
1	207V00000X	Obstetrics & Gynecology Physician	K1146	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518047869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY E YOUNG MD

Provider Business Mailing Address
First Line	:	1542 TULANE AVENUE
Second Line	:	#550
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112
Country	:	US
Telephone Number	:	504-568-8663
Fax Number	:	504-568-5140

Provider Business Practice Location Address
First Line	:	1542 TULANE AVENUE
Second Line	:	SUITE 550
City	:	NEW ORLEANS
State	:	KY
Zip	:	70112-2822
Country	:	US
Telephone Number	:	504-412-1100
Fax Number	:	504-560-5140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/29/2013

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Directions to “ AMY E YOUNG MD” Practice Location

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