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
Fax: (518) 752-5277
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669401022 NPPES
New York MEDICAID 02357431
New York Other 000403459002
New York Other 696035

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