Active NPI
Cynthia A Young
- Athletic Trainer
- Cairo, NY
National Provider Identifier
1811284573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- T117826
- Practice address
- 513 Main Street
Cairo, NY 12413 - Phone
- (518) 965-3017
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | T117826 | CA | Primary |
Addresses
Primary practice location
513 Main Street
Cairo, NY 12413
Mailing address
PO Box 604
Leeds, NY 12451-0604
Phone (518) 965-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T117826 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1811284573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604",
"city": "LEEDS",
"state": "NY",
"postal_code": "124510604",
"telephone_number": "518-965-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 MAIN STREET",
"city": "CAIRO",
"state": "NY",
"postal_code": "12413",
"telephone_number": "518-965-3017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CYNTHIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "T117826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cairo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.