MEDICARE: SKY 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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1750091468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKY YOUNG

Provider Business Mailing Address
First Line	:	93 4TH AVE # 85
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-5213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	93 4TH AVE # 85
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-5213
Country	:	US
Telephone Number	:	929-600-2234
Fax Number	:

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

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	12/05/2022

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Directions to “ SKY YOUNG ” Practice Location

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