# SIMON YOUNG DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942210703
- **Authorized official:** DR. SIMON YOUNG DPM (PRESIDENT/SEC'T -- TREAS/PODIATRIST)
- **Authorized official phone:** (212) 316-7000

## Contact information

- **Practice address:** 110 W 96TH ST, SUITE \#1A, NEW YORK, NY 10025-6413
- **Practice address phone:** (212) 316-7000
- **Practice address fax:** (212) 662-3000
- **Mailing address:** 31 HAROLD ST, NANUET, NY 10954-3749
- **Mailing address phone:** (845) 215-5366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 65 -- N003147 | NY | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 03/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0011123 | GHI | NY |
| 05 | — | 00582081 | — | NY |
| 01 | — | IC0569 | HEALTHNET/GUARDIAN | NY |
| 01 | — | NS3363 | OXFORD | NY |