Young, Simon

Young, Simon is an sole proprietor health care provider with primary practice located at 110 W 96Th St Ste 1A, New York NY 10025-6413. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Young, Simon can be contacted via phone (212) 316-7000.

Contact Information

Primary practice address
110 W 96Th St Ste 1A New York NY 10025-6413
Phone: (212) 316-7000
Fax: (212) 662-3000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003147 New York

Profile Details

NPI number 1083614895
LBN Legal business name Young, Simon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Feb 2nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083614895 NPPES
New York Other 0011123 GTTI
New York MEDICAID 00582081 GTTI
New York Other NS3363 GTTI

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