MEDICARE: CLAYTON JOSEPH YOUNG PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	035174-01	NY

General Provider Information

NPI Number	:	1528923323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAYTON JOSEPH YOUNG PA-C

Provider Business Mailing Address
First Line	:	77 GOODELL ST STE 340
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1243
Country	:	US
Telephone Number	:	585-747-9701
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HIGH ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1126
Country	:	US
Telephone Number	:	716-645-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	01/26/2026

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