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General NPI Number Information
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NPI Number | 1962733733
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Entity Type | Individual
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Provider Name | ANDREW KY YOUNG D.O
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Gender | Male
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 8268 164TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1121
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Country | US
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Telephone | 718-883-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 9952 66TH RD
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City | REGO PARK
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State | NY
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Zip | 11374-4461
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Country | US
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Telephone | 917-838-9815
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 246415
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License Number State | NY
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