Provider Demographics
NPI:1588708440
Name:YOUNG, ANNE B (CPNP)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:B
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4812 9TH AVE
Mailing Address - Street 2:IS 220 RM 115
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220
Mailing Address - Country:US
Mailing Address - Phone:718-853-3028
Mailing Address - Fax:718-633-0133
Practice Address - Street 1:4812 9TH AVE
Practice Address - Street 2:IS 220 RM 115
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-853-3028
Practice Address - Fax:718-633-0133
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF380413363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics