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Export Provider Record NPI 1063689297
Ezekiel YoungM.D.
Active
NPI Number1063689297
NPI TypeNPI-1 Individual
SpecialtyUrology, Pediatric Urology
Provider Details
NPI1063689297
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-05-16
Last Updated2021-08-17
Mailing Address3085 Harlem Rd Ste 350
Cheektowaga, NY 14225-2591
United States
Phone: (716) 844-5600 | Fax: (716) 844-5750
📍 View Map
Primary Practice Address1001 Main St
Buffalo, NY 14203-1009
United States
Phone: (716) 859-7978 | Fax: (716) 859-1275
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2088P0231X – Urology, Pediatric UrologyNY280645
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About NPI 1063689297

Ezekiel Young M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063689297. The primary specialty listed is Urology, Pediatric Urology. The provider is located in Buffalo, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-05-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063689297?

NPI 1063689297 belongs to Ezekiel Young M.D., a Urology, Pediatric Urology in Buffalo, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063689297 active?

The current status of NPI 1063689297 in the NPPES registry is Active. The record was last updated on 2021-08-17.

What specialty is NPI 1063689297?

NPI 1063689297 is classified under the taxonomy Urology, Pediatric Urology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063689297?

You can verify NPI 1063689297 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063689297?

The primary practice address on file for NPI 1063689297 is 1001 Main St, Buffalo, NY 14203-1009. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063689297 issued?

NPI 1063689297 was first issued (enumerated) on 2008-05-16. The NPPES record was last updated on 2021-08-17.

Practice Location Map

Ezekiel Young is located at 1001 Main St, Buffalo, NY. Use the map below to find directions or verify the practice location.

📍 1001 Main St, Buffalo, NY 14203-1009  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ezekiel Young. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063689297. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Urology, Pediatric Urology280645NY
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162