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NPI Code Detail

MEDICARE: YOUNG SKIN

MEDICARE: YOUNG SKIN
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
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1477175966
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUNG SKIN
Provider Business Mailing Address
First Line : 54 BRUCE PARK DR
Second Line :
City : GREENWICH
State : CT
Zip : 06830-7202
Country : US
Telephone Number : 203-952-7747
Fax Number :
Provider Business Practice Location Address
First Line : 123 HIGH RIDGE RD
Second Line :
City : STAMFORD
State : CT
Zip : 06905-3811
Country : US
Telephone Number : 475-400-9455
Fax Number : 952-209-9802
Authorized Official
Title or Position : OWNER
Name : DR. SARYNA PUTMAN YOUNG
Credential : MD
Telephone Number : 203-952-7747
Provider Enumeration Date : 05/07/2020
Last Update Date : 12/06/2025

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Directions to “YOUNG SKIN ” Practice Location

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