National Provider Identifier

Matthew Justin Yanik, DO

Matthew Justin Yanik, DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 756-4800.

NPI 1568221828Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1568221828
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 18, 2024
Last Updated
March 18, 2024

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 756-4800

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1568221828
Entity Type
Individual
Last Name
Yanik
First Name
Matthew
Middle Name
Justin
Credential
DO
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 756-4800
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 756-4800
Enumeration Date
March 18, 2024
Last Updated
March 18, 2024
Sex
Male
Sole Proprietor
No
Certification Date
March 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)