Young, Simon
Young, Simon is an sole proprietor health care provider with primary practice located at 110 W 96Th St Ste 1A, New York NY 10025-6413. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Young, Simon can be contacted via phone (212) 316-7000.Contact Information
Primary practice address
110 W 96Th St Ste 1A
New York NY 10025-6413
Phone: (212) 316-7000
Fax: (212) 662-3000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N003147 | New York |
Profile Details
| NPI number | 1083614895 |
|---|---|
| LBN Legal business name | Young, Simon |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Feb 2nd, 2011 - about 15 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 | 1083614895 | NPPES |
| New York | Other | 0011123 | GTTI |
| New York | MEDICAID | 00582081 | GTTI |
| New York | Other | NS3363 | GTTI |
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