Young, Mary C

Young, Mary C is an individual health care provider with primary practice located at 1000 Asylum Ave Ste 2109A Neonatal Intensive Care, Hartford CT 06105-1719. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Young, Mary C can be contacted via phone (860) 714-6581.

Contact Information

Primary practice address
1000 Asylum Ave Ste 2109A Neonatal Intensive Care Hartford CT 06105-1719
Phone: (860) 714-6581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 000953 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 000953 Connecticut

Profile Details

NPI number 1063487106
LBN Legal business name Young, Mary C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063487106 NPPES
Connecticut MEDICAID 004254265

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