Organization
FINGER LAKES DERMATOLOGY PLLC
Active
Organization
FINGER LAKES DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD YENTZER MD (OWNER)
(607) 708-1330
Entity
Organization
Contact information
Practice address
2141 DRYDEN RD, FREEVILLE, NY 13068
(607) 708-1330
(607) 708-4242
Mailing address
2141 DRYDEN ROAD, FREEVILLE, NY 13068-9611
(607) 708-1330
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
04/13/2022
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