Provider Demographics
NPI:1396748448
Name:YOUNG-MAYKA, CYNTHIA J (PA)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:J
Last Name:YOUNG-MAYKA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:100 METROPOLITAN DRIVE ASSOCIATED MEDICAL PROFESSIONALS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088
Mailing Address - Country:US
Mailing Address - Phone:315-870-9370
Mailing Address - Fax:315-748-5358
Practice Address - Street 1:806 WEST BROADWAY ASSOCIATED MEDICAL PROFESSIONALS
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069
Practice Address - Country:US
Practice Address - Phone:315-297-4700
Practice Address - Fax:315-218-5898
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
NY0040721363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01270915Medicaid
NY01270915Medicaid