Provider Demographics
NPI:1184858458
Name:YOUNG, PAUL RAYMOND (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:RAYMOND
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4955 N BAILEY AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1206
Mailing Address - Country:US
Mailing Address - Phone:716-832-8500
Mailing Address - Fax:716-832-8501
Practice Address - Street 1:4955 N BAILEY AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1206
Practice Address - Country:US
Practice Address - Phone:716-832-8500
Practice Address - Fax:716-832-8501
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY268372207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck