Individual
DR. GENE YOUNG IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST FL 14, NEW YORK, NY 10032-3720
(212) 305-0914
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0914
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
259673
NY
207RG0100X
Gastroenterology Physician
259673
NY
207RI0008X
Hepatology Physician
259673
NY
207RT0003X
Transplant Hepatology Physician
Primary
259673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259673
NEW YORK STATE LICENSE
NY
Enumeration date
09/15/2010
Last updated
12/10/2024
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