MEDICARE: YOUNG ADULT INSTITUTE, INC.

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	251E00000X	Home Health Agency	7002650	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568477347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNG ADULT INSTITUTE, INC.

Provider Business Mailing Address
First Line	:	460 W 34TH ST
Second Line	:	FL 11
City	:	NEW YORK
State	:	NY
Zip	:	10001-2382
Country	:	US
Telephone Number	:	212-273-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 W 34TH ST
Second Line	:	FL 11
City	:	NEW YORK
State	:	NY
Zip	:	10001-2382
Country	:	US
Telephone Number	:	212-273-6100
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ALLEN ROSEN
Credential	:
Telephone Number	:	212-273-6100

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	09/10/2008

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Directions to “YOUNG ADULT INSTITUTE, INC. ” Practice Location

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