Individual
SEAN YECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 344-5470
(585) 344-7451
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 344-5470
(585) 344-7451
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026470
NY
363AS0400X
Surgical Physician Assistant
MA060685
PA
Other
Enumeration date
06/03/2019
Last updated
06/10/2024
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