Provider Demographics
NPI:1558416651
Name:YOUNG, FRANSON GIN-WAH (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANSON
Middle Name:GIN-WAH
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7570 197TH STREET
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1817
Mailing Address - Country:US
Mailing Address - Phone:718-465-4718
Mailing Address - Fax:718-465-7042
Practice Address - Street 1:7570 197TH STREET
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1817
Practice Address - Country:US
Practice Address - Phone:718-465-4718
Practice Address - Fax:718-465-7042
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146041207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00606139Medicaid
NY00606139Medicaid
C10578Medicare UPIN