Young, Calvin J.
Young, Calvin J. is an individual health care provider with primary practice located at 100 White Spruce Blvd , Rochester NY 14623-1507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Young, Calvin J. can be contacted via phone (585) 272-0700.Contact Information
Primary practice address
100 White Spruce Blvd
Rochester NY 14623-1507
Phone: (585) 272-0700
Fax: (585) 272-8340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 304196-01 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301112018 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 304196 | New York |
Profile Details
| NPI number | 1952628406 |
|---|---|
| LBN Legal business name | Young, Calvin J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2010 |
| Last updated | Nov 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952628406 | NPPES |
| New York | MEDICAID | 06137402 | |
| New York | MEDICAID | J400679850 |
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