| NPI | 1134405665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART YOUNG Medical Doctor, Owner 212-826-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010483) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |