Basic Information
| Provider Information | |||||||||
| NPI: | 1922183052 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUNGE | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | MD,MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 NEW YORK AVE | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106063518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147612493 | ||||||||
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| Practice Location | |||||||||
| Address1: | 610 WEST 158TH ST | ||||||||
| Address2: | FAMILY MEDICINE AT FARRELL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100327104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125441860 | ||||||||
| FaxNumber: | 2125441870 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 09/13/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 135372 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.