Provider Demographics
NPI:1487723037
Name:YOUNG, MICHAEL A (DC PC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DC PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:325 WEST ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1787
Mailing Address - Country:US
Mailing Address - Phone:585-398-2420
Mailing Address - Fax:585-577-8004
Practice Address - Street 1:325 WEST ST STE 102
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1787
Practice Address - Country:US
Practice Address - Phone:585-398-2420
Practice Address - Fax:585-905-0123
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008296111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100262ANOtherPREFERRED CARE
NYCO8296-8OtherWORKERS COMPENSATION
NY04595828Medicaid
NYP010008296OtherBLUE CHOICE PROVIDER #
NYP050008296OtherBLUE CROSS BLUE SHIELD
NYU61556Medicare UPIN