Provider Demographics
NPI:1497419170
Name:YOUNG, DANIEL A (RRT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:YOUNG
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 NEW PITTSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:DUNDALK
Mailing Address - State:MD
Mailing Address - Zip Code:21222-6206
Mailing Address - Country:US
Mailing Address - Phone:443-807-4271
Mailing Address - Fax:
Practice Address - Street 1:552 NEW PITTSBURG AVE
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-6206
Practice Address - Country:US
Practice Address - Phone:443-807-4271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLO62142279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health