Most Relevant Information
Provider Data
| NPI Number: | 1003474198 |
| Provider Name: | SEAN YECKLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | MA060685 |
Most Important Dates
| Enumeration Date: | 06/03/2019 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
127 NORTH ST
BATAVIA
NY
140201631
Practice Location Phone/Fax
| Phone: | 5853445470 |
| Fax: | 5853447451 |
Provider Mailing Location
100 KINGS HWY S
ROCHESTER
NY
146175504
Provider Mailing Phone/Fax
| Phone: | 5853445470 |
| Fax: | 5853447451 |