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Individual

DR. HERBERT YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3495 BAILEY AVE, CARDIOLOGY SECTION 111-C, BUFFALO, NY 14215-1129
(716) 862-8641
Mailing address
3495 BAILEY AVE, CARDIOLOGY SECTION 111-C, BUFFALO, NY 14215-1129
(716) 862-8641

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
216221
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025550801
EXCELLUS UNIVERA
NY
01
000525829002
HEALTH NOW
NY
05
02165915
NY
01
2111178
INDEPENDENT HEALTH
NY
Enumeration date
06/13/2006
Last updated
11/23/2011
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