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

Dustin Young, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1710403654

Dustin Young, PHYSICIANASSISTANT is a Physician Assistant in Fort Drum, New York. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone: (315) 774-5804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710403654
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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