Individual provider · Type 1 NPI

Young Song, CPED

Pedorthist · Flushing, NY

NPI number 1043751514 Active

Practice location

14431 41st Ave Ste L6
Flushing, NY 11355-1452

Fax (718) 359-0388

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000XCPED3468 (NY)

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

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About NPI 1043751514

Young Song, CPED's National Provider Identifier is 1043751514, issued on Mar 16, 2017. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Flushing, NY. The record was last updated on Mar 16, 2017.