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General NPI Number Information
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NPI Number | 1699188078
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Entity Type | Individual
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Provider Name | ANDREA J. YOUNG NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 6 PARK AVE
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City | VALLEY COTTAGE
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State | NY
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Zip | 10989-1812
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Country | US
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Telephone | 561-635-1491
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Fax |
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Provider Business Mailing Address
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Address Line | 3125 US ROUTE 9W
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6763
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Country | US
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Telephone | 914-502-3998
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Fax | 518-708-6889
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 404100
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 341820
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9196852
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404100
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License Number State | NY
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