Au, Loretta Young
Au, Loretta Young is an individual health care provider with primary practice located at 125 Walker St , New York NY 10013-4135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Au, Loretta Young can be contacted via phone (212) 226-3888.Contact Information
Primary practice address
125 Walker St
New York NY 10013-4135
Phone: (212) 226-3888
Fax: (212) 334-6887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 188528 | New York |
Profile Details
| NPI number | 1720077506 |
|---|---|
| LBN Legal business name | Au, Loretta Young |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 5th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720077506 | NPPES |
| New York | MEDICAID | 01886135 |
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