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NPI Code Detail

MEDICARE: MR. YUCEFF YOUNG LPTA

MEDICARE:  MR. YUCEFF  YOUNG  LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility06025OH

General Provider Information

NPI Number : 1306253703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YUCEFF YOUNG LPTA
Provider Business Mailing Address
First Line : 164 GROVELAND ST
Second Line :
City : OBERLIN
State : OH
Zip : 44074-1768
Country : US
Telephone Number : 440-574-1833
Fax Number :
Provider Business Practice Location Address
First Line : 2186 AMBLESIDE DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4620
Country : US
Telephone Number : 216-721-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2014
Last Update Date : 07/17/2014

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Directions to “ MR. YUCEFF YOUNG LPTA” Practice Location

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