Provider Demographics
NPI:1700147857
Name:YOUNG, SYLVIA (MS,ED)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MS,ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 OVERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4324
Mailing Address - Country:US
Mailing Address - Phone:845-352-2982
Mailing Address - Fax:845-352-2982
Practice Address - Street 1:34 OVERBROOK DR
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-4324
Practice Address - Country:US
Practice Address - Phone:845-352-2982
Practice Address - Fax:845-352-2982
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist