Provider Demographics
NPI:1700841335
Name:YOUNG, CAROLYN N (MD)
Entity Type:Individual
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First Name:CAROLYN
Middle Name:N
Last Name:YOUNG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:255 DELAWARE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-2016
Mailing Address - Country:US
Mailing Address - Phone:716-842-0440
Mailing Address - Fax:716-842-4069
Practice Address - Street 1:225 DELAWARE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-2108
Practice Address - Country:US
Practice Address - Phone:716-842-0440
Practice Address - Fax:716-842-4069
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2010-12-03
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Provider Licenses
StateLicense IDTaxonomies
NY2137772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H38715Medicare UPIN