MEDICARE: BROWN-YOUNG NURSE PRACTITIONER PSYCHIATRY PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1841828472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWN-YOUNG NURSE PRACTITIONER PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	10484 MAIN ST
Second Line	:
City	:	NORTH COLLINS
State	:	NY
Zip	:	14111-9409
Country	:	US
Telephone Number	:	716-337-3056
Fax Number	:	716-337-3056

Provider Business Practice Location Address
First Line	:	10484 MAIN ST
Second Line	:
City	:	NORTH COLLINS
State	:	NY
Zip	:	14111-9409
Country	:	US
Telephone Number	:	716-337-3056
Fax Number	:	716-337-3056

Authorized Official
Title or Position	:	OWNER/SOLE PROPRIETOR
Name	:	REBECCA BROWN-YOUNG
Credential	:
Telephone Number	:	716-337-3056

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	03/19/2025

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