Individual ProviderBrandon Matthew YoungPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1043 Annadale Rd, Staten Island, NY 10312-4064(917) 715-3966PECOS EnrollmentBased on the most recent information from CMS, provider Brandon Matthew Young does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1033976642Provider TypeIndividualFull NameYoung, Brandon MatthewTitleDr.CredentialDPTGenderMaleSole ProprietorYesEnumeration Date2/29/2024Last Updated2/29/2024Contact InformationPractice LocationPractice Address1043 Annadale Rd, Staten Island, NY 10312-4064Phone(917) 715-3966FaxUnlisted FaxMailing LocationMailing Address1043 Annadale Rd, Staten Island, NY 10312-4064PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense051878New York