Individual
MR. JAY A YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MEDICAL PLZ, SULPHUR SPRINGS, TX 75482-2136
(903) 885-6534
Mailing address
229 PARRISH ST, SUITE 250, CANANDAIGUA, NY 14424-1791
(585) 394-8800
(585) 394-5942
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
219987
NY
207Y00000X
Otolaryngology Physician
Primary
V5147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02131262
—
NY
Enumeration date
07/26/2006
Last updated
12/04/2024
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