PHYLLIS YOUNG (NPI# 1689785156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689785156 |
| Entity Type | Individual |
| Full Name | PHYLLIS YOUNG |
| Credential | PA |
| Practice Address |
254 Route 17k Suite 203 Newburgh NY 12550-8343 |
| Mailing Address |
8 Rue De Vin Dr Marlboro NY 12542-5953 |
| Practice Telephone | 8459137737 |
| Practice Fax Number | 8772916044 |
| Mailing Telephone | 8459137737 |
| Mailing Fax Number | 8772916044 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00335300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002105 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003633 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1336295484 | Phyllis E Young | Case Manager/Care Coordinator | 15307 W 93rd St, Lenexa, KS 66219-1916 | 2007-01-25 |
| Street Address |
254 ROUTE 17K SUITE 203 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-8343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205146800 | Whole Life Center, Inc | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2010-10-15 |
| 1508171067 | Carol Ann Malizia, Dc PC | Chiropractor | 254 Route 17k, Suite 304, Newburgh, NY 12550-8343 | 2010-08-09 |
| 1679805394 | Suzanne Kayle Tamlyn | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2010-02-04 |
| 1669708673 | Carli Anne Curtiss | Massage Therapist | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2009-10-26 |
| 1346499480 | Amy Cutter | Massage Therapist | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2008-09-12 |
| 1689856395 | Michael Tedford Md LLC | Ophthalmology | 254 Route 17k, Ste 204, Newburgh, NY 12550 | 2007-12-04 |
| 1568686756 | Chad Weinstein | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2007-04-12 |
| 1992728695 | Carol Ann Malizia | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225042344 | Julie C Ormiston | Physician Assistant | 308 Fullerton Ave, Newburgh, NY 12550-3722 | 2006-07-27 |
| 1225014210 | Thomas W Waters | Physician Assistant | 5911 Laurel Ridge Dr, Newburgh, IN 47630-8067 | 2005-12-21 |
| 1649894338 | Alexis Nicole Manz | Physician Assistant | 1200 Route 300, Newburgh, NY 12550-5003 | 2020-05-29 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1740762673 | Elizabeth Conkling | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2018-09-06 |
| 1083120273 | Brianna Miller | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2017-12-26 |
| 1457870289 | Stephanie Marie Kramer | Physician Assistant | 200 Stony Brook Ct, Newburgh, NY 12550 | 2017-09-13 |
| 1487182283 | Ethan Levine | Physician Assistant | 70 Dubois St, Newburgh, NY 12550-4851 | 2017-05-24 |
| 1497202964 | Lindsey Alt | Physician Assistant | 147 Lake St, Newburgh, NY 12550 | 2016-09-01 |
| 1962888248 | Kirstin A Tarquini | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2015-08-10 |
| Find all providers in NEWBURGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.