MEDICARE: JULIET YOUNG MSGC

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	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1902753486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIET YOUNG MSGC

Provider Business Mailing Address
First Line	:	103 LEXINGTON AVE APT 3A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-8950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	823 CONGRESS AVE STE 1200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-2402
Country	:	US
Telephone Number	:	647-622-8752
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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