NPI 1043751514

Young Song, CPED

Practitioner Pedorthist Flushing, NY

Practice location

Address: 14431 41st Ave STE L6, Flushing, NY 11355-1452
Phone: (718) 359-3348
Fax: (718) 359-0388

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED3468 (NY)

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Registry record

NPI: 1043751514
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2017
Record last updated: 16 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.