Individual
DR. JAMES MICHAEL YADANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11885 W MAIN ST, WOLCOTT, NY 14590-1027
(315) 594-9400
(315) 594-9613
Mailing address
11885 W MAIN ST, WOLCOTT, NY 14590-1027
(315) 594-9400
(315) 594-9613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0009601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110363AN
PREFERRED CARE PROVIDER N
NY
01
—
7087371
AETNA PROVIDER NUMBER
NY
Enumeration date
08/13/2006
Last updated
07/08/2007
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