Individual
DR. BRAD A YENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2141 DRYDEN RD, FREEVILLE, NY 13068-9611
(607) 708-1330
(607) 708-4242
Mailing address
2141 DRYDEN RD, FREEVILLE, NY 13068-9611
(607) 708-1330
(607) 708-4242
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
287410
NY
Other
Enumeration date
04/28/2008
Last updated
04/29/2020
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