Provider Demographics
NPI:1881000271
Name:SHOU, JAMES YOUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YOUNG
Last Name:SHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-922-4371
Mailing Address - Fax:585-338-7485
Practice Address - Street 1:1425 PORTLAND AVE # 220
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3011
Practice Address - Country:US
Practice Address - Phone:585-922-4371
Practice Address - Fax:585-338-7485
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4656332084N0400X
GA69962084N0400X
NY3055562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology