Youngs, Diana

Youngs, Diana is an individual health care provider with primary practice located at 1500 Route 112 Bldg 4 , Port Jefferson Station NY 11776-8055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Youngs, Diana can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055
Phone: (631) 751-3000
Fax: (631) 509-6654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F370030 New York

Profile Details

NPI number 1871599985
LBN Legal business name Youngs, Diana
Credentials ANPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 11th, 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 1871599985 NPPES
New York MEDICAID 02597895

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