Provider Demographics
NPI:1811910870
Name:YOUNG, CYNTHIA CERISE (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:CERISE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:401 KEISLER DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7084
Mailing Address - Country:US
Mailing Address - Phone:919-378-1492
Mailing Address - Fax:919-239-4670
Practice Address - Street 1:401 KEISLER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7084
Practice Address - Country:US
Practice Address - Phone:919-378-1492
Practice Address - Fax:919-239-4670
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-04-29
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Provider Licenses
StateLicense IDTaxonomies
NC200500137207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
138773Medicare UPIN
2044956Medicare ID - Type Unspecified