MEDICARE: DR. JOHANNA YOUNER DPM

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	213E00000X	Podiatrist	N004943	NY

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
2	1659398238	OTHER	NY	NPI

General Provider Information

NPI Number	:	1659398238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHANNA YOUNER DPM

Provider Business Mailing Address
First Line	:	40 PARK AVENUE
Second Line	:	SUITE 5
City	:	NEW YORK
State	:	NY
Zip	:	10016-3456
Country	:	US
Telephone Number	:	212-683-7757
Fax Number	:	212-889-6150

Provider Business Practice Location Address
First Line	:	40 PARK AVENUE
Second Line	:	SUITE 5
City	:	NEW YORK
State	:	NY
Zip	:	10016-3456
Country	:	US
Telephone Number	:	212-683-7757
Fax Number	:	212-889-6150

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	03/01/2012

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