Individual
NICOLE ELIZABETH YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CANAL LANDING BLVD, ROCHESTER, NY 14626-5107
(585) 368-4050
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309524
NY
Other
Enumeration date
01/29/2020
Last updated
10/15/2024
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