Healthcare Provider Details

I. General information

NPI: 1043051873
Provider Name (Legal Business Name): YOU FIRST MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7659 RIPPINGALE ST
BLACKLICK OH
43004-9008
US

IV. Provider business mailing address

7659 RIPPINGALE ST
BLACKLICK OH
43004-9008
US

V. Phone/Fax

Practice location:
  • Phone: 917-383-6531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHARON SIAW
Title or Position: CEO
Credential: FNP
Phone: 917-383-6531