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General NPI Number Information
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NPI Number | 1740416569
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Entity Type | Organization
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Legal Business Name | ANKE OTT-YOUNG MEDICAL PC
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 999 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-742-3404
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Fax | 203-549-0790
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Provider Business Mailing Address
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Address Line | 219 MICHIGAN RD
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City | NEW CANAAN
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State | CT
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Zip | 06840-2223
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Country | US
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Telephone | 516-423-6251
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. ANKE OTT-YOUNG
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Credential |
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Telephone | 516-423-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 237286
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License Number State | NY
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