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General NPI Number Information
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NPI Number | 1104265768
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Entity Type | Individual
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Provider Name | JAMES JACOB YOUNG MD PHD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE ANNENBERG BUILDING, 2ND FLOOR, EPILEPSY CENTER
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-2627
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Fax | 516-939-1516
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Provider Business Mailing Address
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Address Line | 1468 MADISON AVE ANNENBERG BUILDING, 2ND FLOOR, EPILEPSY CENTER
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-2627
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Fax | 516-939-1516
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 273386
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 273386
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License Number State | NY
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