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General NPI Number Information
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NPI Number | 1366633968
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Entity Type | Organization
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Legal Business Name | RONALD YOUNG MD PC
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 36 BROMPTON RD
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City | GARDEN CITY
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State | NY
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Zip | 11530-4226
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Country | US
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Telephone | 516-747-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 36 BROMPTON RD
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City | GARDEN CITY
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State | NY
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Zip | 11530-4226
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Country | US
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Telephone | 516-747-2070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD YOUNG
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Credential | MD
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Telephone | 516-747-2070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 1145990
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License Number State | NY
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