Provider Demographics
NPI:1053383612
Name:YOUNG, ZENAIDA (MD)
Entity type:Individual
Prefix:DR
First Name:ZENAIDA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:110 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5028
Mailing Address - Country:US
Mailing Address - Phone:914-632-8164
Mailing Address - Fax:914-632-2184
Practice Address - Street 1:110 LOCKWOOD AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5028
Practice Address - Country:US
Practice Address - Phone:914-632-8164
Practice Address - Fax:914-632-2184
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY142239207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00491438Medicaid
NY00491438Medicaid
NY35A061Medicare PIN