MRS. POLLY J YOUNG (NPI# 1669401022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669401022 |
| Entity Type | Individual |
| Full Name | MRS. POLLY J YOUNG |
| Other Name | POLLY J PECK |
| Credential | ANP |
| Practice Address |
99 East State Street Gloversville NY 12078 |
| Mailing Address |
Po Box 1250 99 East State Street Gloversville NY 12078 |
| Practice Telephone | 5187525275 |
| Practice Fax Number | 5187525277 |
| Mailing Telephone | 5187525275 |
| Mailing Fax Number | 5187525277 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303481 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02357431 | 05 | |
| NY | MVP HEALTHPLAN | 696035 | 01 |
| NY | BSH NE NY | 000403459002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222744 | Polly T Young | Family Medicine | 3100 Telegraph Ave, #2109 East Bay Family Practice Medical Group Inc, Oakland, CA 94609-3210 | 2005-08-19 |
| Street Address |
99 EAST STATE STREET |
| City | GLOVERSVILLE |
| State | NY |
| Zip Code | 12078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093783789 | David F Cann | Nurse Practitioner | 99 East State Street, Nathan Littauer Hospital, Gloversville, NY 12078-0010 | 2006-03-09 |
| 1275179087 | Emily Jayne Shaver | Dietitian, Registered | 99 East State Street, Gloversville, NY 12078 | 2019-11-27 |
| 1871896597 | Osama Essa | Surgery | 99 East State Street, Mab Suite 106, Gloversville, NY 12078-1203 | 2010-12-20 |
| 1073838777 | Steven C Crouch | Pharmacist | 99 East State Street, Nathan Littauer Hospital Pharmacy, Gloversville, NY 12078 | 2010-04-06 |
| 1487983540 | Bennet Koku Togbe | Surgery | 99 East State Street, Mab Suite 107, Gloversville, NY 12078-0010 | 2009-12-18 |
| 1306024013 | Karen L Mccrea | Nurse Practitioner | 99 East State Street, Mab Suite G01, Gloversville, NY 12078-1203 | 2008-02-05 |
| 1548456080 | Susan J Carmean | Nurse Anesthetist, Certified Registered | 99 East State Street, Gloversville, NY 12078-0010 | 2007-09-19 |
| 1144428541 | Crystal M Baker | Physician Assistant | 99 East State Street, Mab Suite G01, Gloversville, NY 12078-0010 | 2007-07-06 |
| 1417065871 | Karen West | Nurse Practitioner | 99 East State Street, Mab Suite 101, Gloversville, NY 12078 | 2006-08-27 |
| 1184737918 | Patricia My-lan Nguyen | Obstetrics & Gynecology | 99 East State Street, Mab-gpcc, Gloversville, NY 12078 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1013424076 | Benjamin Edward Twait | Pharmacist | 1013 Ny-29a, Gloversville, NY 12078 | 2017-12-29 |
| 1538698998 | Claire Burnham | Counselor | 11-21 Broadway St., Gloversville, NY 12078 | 2017-06-08 |
| 1942756895 | Shardul Koppar | Internal Medicine | 847 Cr-122, Gloversville, NY 12078 | 2016-08-31 |
| 1821460288 | Kelley Mcgork | Physical Therapist | 127 E. State Street, Lexington Center, Gloversville, NY 12078 | 2015-10-26 |
| 1750729570 | Arthur Keith Brelia | General Practice | 104 Prospect Ave., Gloversville, NY 12078 | 2013-06-14 |
| 1891056693 | St. Mary's Healthcare | Family Medicine | 84 E State St., Gloversville, NY 12078 | 2012-06-07 |
| 1407179963 | Karen Ann Mowrey | Pharmacist | Route 30a, Arterial Shopping Center, Gloversville, NY 12078 | 2010-03-11 |
| 1619105053 | Amy Lee Gagne | Nurse Practitioner | 84 E State St, St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078 | 2009-06-24 |
| Find all providers in zip 12078 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013939974 | Patricia Mary Galea | Nurse Practitioner | 50 Prospect Ave, Gloversville, NY 12078-3126 | 2006-07-23 |
| 1346864477 | Melissa Vanslyke | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2020-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | GLOVERSVILLE |
| Zip Code | 12078 |
Please comment or provide details below to improve the information on MRS. POLLY J YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.