Susan Victoria Abdenour Young, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004486-1 Issued in NY

Practice address

9101 Shore Rd
Apt 504
Brooklyn, NY 11209-6155

Phone

(718) 921-0840

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1225260706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 SHORE RD",
            "address_2": "APT 504",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096155",
            "telephone_number": "718-921-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 SHORE RD",
            "address_2": "APT 504",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096155",
            "telephone_number": "718-921-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDENOUR YOUNG",
        "first_name": "SUSAN",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004486-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00434200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Abdelsalam
• Yasser Abdelsalam
• Hany Abdelsayed, DO
• Nardeen Abdelsayed
• Osama A. M. Abdelwahed, PT
• Arthur Abdiyev, DDS
• Ahmed H Abdo, PHYSICAL THERAPIST
• Mohamed Medhat Abdo, MD
• Avinell Shane Abdool, PA-C
• Nikesha Abdool

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.