Young, Michael
Young, Michael is an individual health care provider with primary practice located at 2015 Grand Concourse Ste 390 , Bronx NY 10453-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Young, Michael can be contacted via phone (718) 299-7295.Contact Information
Primary practice address
2015 Grand Concourse Ste 390
Bronx NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 1011523 | New York |
Profile Details
| NPI number | 1902889330 |
|---|---|
| LBN Legal business name | Young, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Oct 20th, 2017 - about 7 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 | 1902889330 | NPPES |
| New York | MEDICAID | 00352901 |
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