National Provider Identifier

Rebecca Casimina Young, PA-C

Rebecca Casimina Young, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Lockport, NY and a listed phone number of (716) 439-4248.

NPI 1962207126Lockport, NYPhysician Assistant

Profile Overview

NPI
1962207126
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 13, 2025
Last Updated
February 21, 2025

Practice Location

  • 3805 Lockport Olcott RD
  • Lockport, NY 14094-1128

Phone: (716) 439-4248

Mailing Address

  • 726 Exchange St Ste 710
  • Buffalo, NY 14210-1464

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1962207126
Entity Type
Individual
Last Name
Young
First Name
Rebecca
Middle Name
Casimina
Credential
PA-C
Mailing Street Address
726 Exchange St Ste 710
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14210-1464
Mailing Country
US
Mailing Phone
(716) 852-4772
Practice Street Address
3805 Lockport Olcott RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-1128
Practice Country
US
Practice Phone
(716) 439-4248
Enumeration Date
February 13, 2025
Last Updated
February 21, 2025
Sex
Female
Sole Proprietor
No
Certification Date
February 21, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)