Individual
ANNE M YAWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-0390
Mailing address
100 KINGS HIGHWAY SOUTH, PROVIDER ENROLLMENT, ROCHESTER, NY 14617-5504
(585) 922-1304
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
293860
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD420826
PA
Other
Enumeration date
10/12/2005
Last updated
04/26/2021
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