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NPI Code Detail

MEDICARE: TANIA YOUNG

MEDICARE: TANIA YOUNG
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
1133V00000XRegistered Dietitian013242NY

General Provider Information

NPI Number : 1558228692
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIA YOUNG
Provider Business Mailing Address
First Line : 17 LANSING ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1983
Country : US
Telephone Number : 315-255-7011
Fax Number :
Provider Business Practice Location Address
First Line : 17 LANSING ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1983
Country : US
Telephone Number : 315-255-7011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ TANIA YOUNG ” Practice Location

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