Provider Demographics
NPI:1043053408
Name:YOUNG, JAMYEE
Entity type:Individual
Prefix:
First Name:JAMYEE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13852 ELDER AVE APT 6M
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-6017
Mailing Address - Country:US
Mailing Address - Phone:347-939-0613
Mailing Address - Fax:
Practice Address - Street 1:13852 ELDER AVE APT 6M
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-6017
Practice Address - Country:US
Practice Address - Phone:347-939-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide