Individual
IVAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 HUDSON ST, GRD FLR, NEW YORK, NY 10014-3669
(212) 463-8605
(212) 463-8579
Mailing address
395 HUDSON ST, GROUND FLR, NEW YORK, NY 10014-3669
(212) 463-8605
(212) 463-8579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
173998
NY
Other
Enumeration date
05/09/2010
Last updated
05/09/2010
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