| Doctor Name: | MRS. RACHEL L YOUNG |
| NPI Number: | 1013219864 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPN |
| License Number: | F38109 |
| Business Practice Address: | 151 Intrepid Lane Syracuse, NY - 132052552 |
| Business Phone Number: | 3154698191 |
| Business Fax Number: | 3154694482 |
| Mailing Address: | 151 Intrepid Ln, SYRACUSE |
| State: | NY |
| Postal Code: | 132052552 |
| Phone Number: | 3154698191 |
| Fax Number: | 3154694482 |
| NPI Enumeration Date: | 11/30/2010 |
| NPI Last Update Date: | 11/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | F38109 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |