Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 268372 | NY |
NPI | 1184858458 |
---|---|
Provider Name | Paul Raymond Young |
First Address | Amherst, NY 14226-1206 |
Second Address | Amherst, NY 14226-1206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2009 |
Last Update Date | 01/03/2016 |