YOUNG SONG (NPI# 1043751514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224L00000X | Pedorthist | CPED3468 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02620120 | 05 |
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 |
Street Address |
14431 41ST AVE STE L6 |
City | FLUSHING |
State | NY |
Zip Code | 11355-1452 |
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 |
Find all providers in zip 11355 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
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. |
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 |
Find all providers with the same taxonomy |
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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.