Individual
DR. SIMON YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
110 W 96TH ST, STE 1A, NEW YORK, NY 10025-6413
(212) 316-7000
(212) 662-3000
Mailing address
31 HAROLD ST, NANUET, NY 10954-3749
(845) 215-5366
(212) 662-3000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011123
GTTI
NY
05
—
00582081
—
NY
01
—
NS3363
OXFORD
NY
Enumeration date
07/22/2005
Last updated
02/02/2011
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