Individual
ETHAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 924-4000
Mailing address
6703 DUGWAY RD, CONESUS, NY 14435-9542
(585) 350-6963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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