MEDICARE: DR. MARK JASON 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	303237	NY
2	207L00000X	Anesthesiology Physician	303237	NY

General Provider Information

NPI Number	:	1629227756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK JASON YOUNG MD

Provider Business Mailing Address
First Line	:	1901 1ST AVE BLDG 1215A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-7491
Country	:	US
Telephone Number	:	212-423-6801
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 1ST AVE BLDG 1215A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-7491
Country	:	US
Telephone Number	:	212-423-6801
Fax Number	:

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

Provider Enumeration Date	:	09/12/2008
Last Update Date	:	12/12/2024

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