Provider Demographics
NPI:1407962764
Name:YOUNG, SARYNA PUTMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SARYNA
Middle Name:PUTMAN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:123 HIGH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3811
Mailing Address - Country:US
Mailing Address - Phone:475-400-9455
Mailing Address - Fax:952-209-9802
Practice Address - Street 1:123 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3811
Practice Address - Country:US
Practice Address - Phone:475-400-9455
Practice Address - Fax:952-209-9802
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240336207N00000X
CT044445207N00000X, 207NI0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology