Provider Demographics
NPI:1104265768
Name:YOUNG, JAMES JACOB (MD PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JACOB
Last Name:YOUNG
Suffix:
Gender:
Credentials:MD PHD
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Other - Credentials:
Mailing Address - Street 1:1468 MADISON AVE
Mailing Address - Street 2:ANNENBERG BUILDING, 2ND FLOOR, EPILEPSY CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6508
Mailing Address - Country:US
Mailing Address - Phone:212-241-2627
Mailing Address - Fax:516-939-1516
Practice Address - Street 1:1468 MADISON AVE
Practice Address - Street 2:ANNENBERG BUILDING, 2ND FLOOR, EPILEPSY CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6508
Practice Address - Country:US
Practice Address - Phone:212-241-2627
Practice Address - Fax:516-939-1516
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2733862084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology