Individual
DR. EDWIN R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1090 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10025-1737
(212) 961-5500
(212) 531-7640
Mailing address
150 E 42ND ST, FL 10, NEW YORK, NY 10017-5626
(212) 315-0144
(212) 315-0196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01864011
—
NY
Enumeration date
09/13/2005
Last updated
01/31/2017
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