Young, Edwin R
Young, Edwin R is an individual health care provider with primary practice located at 1090 Amsterdam Ave 4Th Floor, New York NY 10025-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Young, Edwin R can be contacted via phone (212) 961-5500.Contact Information
Primary practice address
1090 Amsterdam Ave 4Th Floor
New York NY 10025-1737
Phone: (212) 961-5500
Fax: (212) 531-7640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 210415 | New York |
Profile Details
| NPI number | 1831184241 |
|---|---|
| LBN Legal business name | Young, Edwin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jan 31st, 2017 - about 9 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 | 1831184241 | NPPES |
| New York | MEDICAID | 01864011 |
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