MEDICARE: MR. IVEN SHELDON YOUNG MD.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	084132	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720174717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. IVEN SHELDON YOUNG MD.

Provider Business Mailing Address
First Line	:	275 SEVENTH AVENUE
Second Line	:	2ND FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10001
Country	:	US
Telephone Number	:	212-675-9332
Fax Number	:	212-604-3844

Provider Business Practice Location Address
First Line	:	275 SEVENTH AVENUE
Second Line	:	2ND FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10001
Country	:	US
Telephone Number	:	212-356-4474
Fax Number	:	212-356-4608

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	10/13/2014

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