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Organization
SIMON YOUNG DPM PC
Active
Organization
SIMON YOUNG DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON YOUNG DPM (PRESIDENT/SEC'T -- TREAS/PODIATRIST)
(212) 316-7000
Entity
Organization
Contact information
Practice address
110 W 96TH ST, SUITE #1A, NEW YORK, NY 10025-6413
(212) 316-7000
(212) 662-3000
Mailing address
31 HAROLD ST, NANUET, NY 10954-3749
(845) 215-5366
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
65 -- N003147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011123
GHI
NY
05
—
00582081
—
NY
01
—
IC0569
HEALTHNET/GUARDIAN
NY
01
—
NS3363
OXFORD
NY
Enumeration date
08/08/2006
Last updated
03/21/2008
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