Young, Polly Jane
Young, Polly Jane is an sole proprietor health care provider with primary practice located at 99 East State Street , Gloversville NY 12078. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Young, Polly Jane can be contacted via phone (518) 752-5275.Contact Information
Primary practice address
99 East State Street
Gloversville NY 12078
Phone: (518) 752-5275
Fax: (518) 752-5277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 303481 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F303481 | New York |
Profile Details
NPI number | 1669401022 |
---|---|
LBN Legal business name | Young, Polly Jane |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2006 |
Last updated | Jul 7th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669401022 | NPPES |
New York | MEDICAID | 02357431 | |
New York | Other | 000403459002 | |
New York | Other | 696035 |
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