Individual
ASHLEY MARIE YACKEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
939 ROUTE 146 STE 700, CLIFTON PARK, NY 12065-3662
(518) 383-0891
(518) 383-1662
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04797980
—
NY
Enumeration date
06/05/2016
Last updated
04/29/2026
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