Provider Demographics
NPI:1942258470
Name:YOUNER, CRAIG J (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:J
Last Name:YOUNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6257
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-0257
Mailing Address - Country:US
Mailing Address - Phone:718-335-5532
Mailing Address - Fax:718-505-0241
Practice Address - Street 1:8940 56TH AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4933
Practice Address - Country:US
Practice Address - Phone:718-335-5532
Practice Address - Fax:718-505-0241
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1209042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00826068Medicaid
300000978OtherRAILROAD MEDICARE
300138032OtherRAILROAD MEDICARE
300028241OtherRAILROAD MEDICARE
300138027OtherRAILROAD MEDICARE
NY00250HMedicare PIN
NY2EE1GYTXR1Medicare PIN
300138032OtherRAILROAD MEDICARE
300028241OtherRAILROAD MEDICARE
NY26376IMedicare PIN