Individual
SEAN W YANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
556 CLINTON AVE S, ROCHESTER, NY 14620-1105
(585) 442-8422
(585) 442-8494
Mailing address
113 PARK AVE APT 2, ROCHESTER, NY 14607-2474
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
5125
NY
Other
Enumeration date
07/19/2022
Last updated
01/05/2023
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