Provider Demographics
NPI:1659753549
Name:YOUNG, ALLISON MICHELLE (NPP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MICHELLE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MICHELLE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NPP
Mailing Address - Street 1:40 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2411
Mailing Address - Country:US
Mailing Address - Phone:585-545-0825
Mailing Address - Fax:585-563-3769
Practice Address - Street 1:481 PENBROOKE DR STE 6
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2044
Practice Address - Country:US
Practice Address - Phone:585-388-6000
Practice Address - Fax:585-388-6004
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401853363LP0808X
NYF401853-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health