Individual
DR. LANCELOT J.B.G. YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
474 MCDERMOTT RD, ROCKVILLE CENTRE, NY 11570-1426
(516) 872-8600
(516) 594-0656
Mailing address
PO BOX 1640, NORTH BALDWIN, NY 11510-0900
(516) 872-8600
(516) 594-0656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
142854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01020199
—
NY
Enumeration date
06/07/2007
Last updated
07/08/2007
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