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Individual

ROBERT J YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1275 YORK AVENUE, MEMORIAL SLOAN-KETTERING CANCER CENTER, NEW YORK, NY 10065
(212) 639-8196
Mailing address
1275 YORK AVENUE, MEMORIAL SLOAN-KETTERING CANCER CENTER, NEW YORK, NY 10065
(212) 639-8196

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
218517
NY
2085R0202X
Diagnostic Radiology Physician
218517
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02669950
NY
Enumeration date
02/21/2006
Last updated
04/03/2008
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