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NPI Code Detail

MEDICARE: DANIEL JAMES YOUNG

MEDICARE: DANIEL JAMES 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
1183500000XPharmacistPCT.0012696CT

General Provider Information

NPI Number : 1952734006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL JAMES YOUNG
Provider Business Mailing Address
First Line : 780 E MAIN ST
Second Line :
City : STAMFORD
State : CT
Zip : 06902-3832
Country : US
Telephone Number : 585-261-7113
Fax Number :
Provider Business Practice Location Address
First Line : 780 E MAIN ST
Second Line :
City : STAMFORD
State : CT
Zip : 06902-3832
Country : US
Telephone Number : 585-261-7113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2013
Last Update Date : 08/13/2013

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