Individual
DR. CALVIN J. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1507
(585) 272-0700
(585) 272-8340
Mailing address
100 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1507
(585) 272-0700
(585) 272-8340
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
304196
NY
208200000X
Plastic Surgery Physician
304196-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
4301112018
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06137402
—
NY
05
—
J400679850
—
NY
Enumeration date
04/23/2010
Last updated
11/02/2020
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