Marianne Young Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

208596 Issued in NY

Legal business name

MARIANNE YOUNG PHYSICIAN PC

Practice address

175 Jericho Tpke
Syosset, NY 11791-4532

Phone

(631) 249-2242

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marianne Young, M.D.

Title

President

Phone

(631) 249-2242

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073612644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HARRISON AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013968",
            "telephone_number": "516-248-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "631-249-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE YOUNG PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-249-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02162196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caryn Beth Manske, MSED
• Hormoz Mansouri, M.D
• Nicole Michelle Marchese, RN
• Fred William Marcus, D.O.
• Maria Noya MD PC
• Laura Marino
• Mark R Kahn MD PLLC
• Jillian Marks
• Diana Eileen Marlow, RN
• Deborah Martin, LMT, MLD

• Internal Medicine Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.