Healthcare Provider Details

I. General information

NPI: 1083455729
Provider Name (Legal Business Name): PY MEDICAL SERVICES OF TN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FRANCIS MARION LN
MARION VA
24354-2629
US

IV. Provider business mailing address

3438 BELL BLVD STE 301
BAYSIDE NY
11361-1739
US

V. Phone/Fax

Practice location:
  • Phone: 276-378-1800
  • Fax:
Mailing address:
  • Phone: 718-709-0940
  • Fax: 516-441-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PEYMAN YOUNESI
Title or Position: CEO
Credential: MD
Phone: 718-709-0940