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Individual

MR. MICHAEL YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2015 GRAND CONCOURSE STE 390, BRONX, NY 10453-4303
(718) 299-7295
(718) 299-6797
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
(347) 479-1303

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1011523
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00352901
NY
Enumeration date
11/21/2005
Last updated
10/20/2017
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