Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forever Young Medical Services PA

Organization Clinic/Center · NPI 1215617402

Forever Young Medical Services PA is a Clinic/Center in White Plains, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 Westchester Park Dr Ste 200
White Plains, NY 10604-3431
Phone: (914) 810-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1215617402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Woo — Director Of Clinical Operations · (917) 810-8672
Other names Fountain Life Ny
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address4 Westchester Park Dr Ste 200, White Plains, NY 10604-3431

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