MEDICARE: DR. GABRIELLE C. YOUNG-LYON D.O.

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
1	207Q00000X	Family Medicine Physician	264188	NY
2	208D00000X	General Practice Physician	25MB10756500	NJ
3	208D00000X	General Practice Physician	16878	FL
4	208D00000X	General Practice Physician	18641	CA
5	208D00000X	General Practice Physician	69033	CT
6	208D00000X	General Practice Physician	OP61157856	WA
7	208D00000X	General Practice Physician	201-02564	NC
8	208D00000X	General Practice Physician	T7780	TX
9	208D00000X	General Practice Physician	0102208149	VA
10	208D00000X	General Practice Physician	2023039824	MO
11	208D00000X	General Practice Physician	1016516	MA
12	208D00000X	General Practice Physician	264188	NY

General Provider Information

NPI Number	:	1457493694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIELLE C. YOUNG-LYON D.O.

Provider Business Mailing Address
First Line	:	23 DOLPHIN GRN APT E2B
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-3161
Country	:	US
Telephone Number	:	646-920-2317
Fax Number	:	212-596-7145

Provider Business Practice Location Address
First Line	:	7 SWITCHBUD PL STE 192-116
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3700
Country	:	US
Telephone Number	:	646-920-2317
Fax Number	:	212-596-7145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	06/28/2025

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Directions to “ DR. GABRIELLE C. YOUNG-LYON D.O.” Practice Location

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