Provider Demographics
NPI:1437124666
Name:YOUNG, MARGARET RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:RUTH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:YOUNG
Other - Last Name:DERINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:78 PIONEER ST
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1236
Mailing Address - Country:US
Mailing Address - Phone:607-547-2801
Mailing Address - Fax:607-547-6782
Practice Address - Street 1:1 ATWELL RD
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1301
Practice Address - Country:US
Practice Address - Phone:607-547-7980
Practice Address - Fax:607-547-6782
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129707-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01162445Medicaid
NYD74008Medicare UPIN