YOUNG SONG


Address: 14431 41st Ave Ste L6, Flushing, NY 11355-1452
Phone: 7183593348

YOUNG SONG (NPI# 1043751514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043751514
Entity Type Individual
Full Name YOUNG SONG
Credential CPED
Practice Address 14431 41st Ave Ste L6
Flushing
NY 11355-1452
Practice Telephone 7183593348
Practice Fax Number 7183590388
Mailing Telephone 7183593348
Mailing Fax Number 7183590388
Enumeration Date 2017-03-16
Last Update Date 2017-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224L00000X Pedorthist CPED3468 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02620120 05

Other Providers YOUNG SONG

NPI Name Taxonomy Address Enumeration
1811914559 Young H Song Psychiatry & Neurology 5605 Glenridge Dr, #600, Atlanta, GA 30342 2006-07-17
1770569105 Young Sug Song Nuclear Medicine 1221 Chersonese Round, Mount Pleasant, SC 29464-9545 2005-12-18
1962926493 Young Song Registered Nurse 1983 Marengo St, Los Angeles, CA 90033 2017-07-26
1336690197 Young Song Pharmacist 27107 Tourney Rd, Santa Clarita, CA 91355-1860 2016-10-17
1174906721 Young Sohn Song Psychologist 11301 Wilshire Blvd Bldg 402, Va Greater Los Angeles Healther Care System, Los Angeles, CA 90073-1003 2015-07-01
1679712640 Young Song Urology 101 E Miller Rd, Sterling, IL 61081-1252 2009-02-13
1932394061 Young Min Song Psychiatry & Neurology 2450 E River Rd, Tucson, AZ 85718-6522 2007-09-11
1013113026 Young Suk Song Radiology 2801 Atlantic Avenue, Attn: Radiology Department, Long Beach, CA 90806 2007-06-26
1730259177 Young S Song Chiropractor 3201 Rogers Ave, Suite 102, Ellicott City, MD 21043-4594 2006-11-09
1972602860 Young Don Song Dentist 775 W Main St, Lake Zurich, IL 60047-2348 2006-09-21

Office Location

Street Address 14431 41ST AVE STE L6
City FLUSHING
State NY
Zip Code 11355-1452

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588281364 Antoinette Sanon Registered Nurse 42-49 Alban St, Flushing, NY 11355 2020-06-29
1336765353 Jayesh Nakum Physical Therapist 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 2020-06-25
1417582990 Royal Class Home Health Care Agency, Inc Home Health 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 2020-03-05
1356972673 Christine Samuel Nurse Practitioner Nyp Queens, 56-45 Main Street, Flushing, NY 11355 2020-01-27
1740842590 Ji Nu Lee Acupuncturist 138 49 Barclay Ave. 6a, Flushing, NY 11355 2019-07-02
1386203990 Paula Scharffenberg Registered Nurse 140-50 Poelar Ave, Queens, NM 11355 2019-06-07
1821655101 Erin Cisney Student in an Organized Health Care Education/Training Program 5654 Main St, Flushing, NY 11355 2019-05-22
1356810063 Sanjay Lodha Physician PC Internal Medicine 45 72 Parsons Lewis Blvd, Flushing, NY 11355 2018-11-26
1740756576 Allday Pharmacy Inc Pharmacy 4199 Main St, Suite 202a, Flushing, NY 11355 2018-10-19
1477035806 Xiaona Mo Acupuncturist 42-67 Saull St #b, Flushing, NY 11355 2018-09-01
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Taxonomy Information

Taxonomy Code 224L00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Pedorthist

Taxonomy Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811345101 Bisyata Dishmaya Management Services Inc Pedorthist 910 46th Street, Brooklyn, NY 11219 2016-05-27
1114352531 Joseph Anthony Coletta Pedorthist 435a Albany Shaker Rd, Loudonville, NY 12211-1815 2013-09-04
1851543284 Neptune Medical & Surgical Supply, Inc. Pedorthist 1048-1050 Oceanview Ave, Neptune Medical & Surgical Supply, Inc., Brooklyn, NY 11235-5441 2008-10-16
1609935527 David Charles Cardillo Pedorthist 3385 Brighton Henrietta Town Line Rd., Rochester, NY 14623-2813 2006-12-06
1629089016 Dme Certified Supplies, Inc. Pedorthist 4621 7th Avenue, Brooklyn, NY 11220-6520 2006-08-10
1699372409 Netanel Shimonov Pedorthist 1353 45th St, Brooklyn, NY 11219-2102 2020-10-05
1912519406 Betzalel Shimonov Pedorthist 1353 45th St, Brooklyn, NY 11219-2102 2020-08-18
1295365120 Scott R Walters Pedorthist 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 2020-01-20
1194286963 Stuart Mandel Pedorthist 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 2019-03-26
1760947568 Zachary Michael Richard Oneal Pedorthist 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 2019-02-05
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Competitor

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City FLUSHING
Zip Code 11355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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