National Provider Identifier
Sean W Yantz
Sean W Yantz is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 442-8422.
Source: public NPPES record, last updated January 05, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1730814302
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- July 19, 2022
- Last Updated
- January 05, 2023
Practice Location
- 556 Clinton Ave S
- Rochester, NY 14620-1105
Phone: (585) 442-8422
Mailing Address
- 113 Park Ave Apt 2
- Rochester, NY 14607-2474
Specialties
- Peer Specialist (175T00000X)
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Full Record
- NPI
- 1730814302
- Entity Type
- Individual
- Last Name
- Yantz
- First Name
- Sean
- Middle Name
- W
- Mailing Street Address
- 113 Park Ave Apt 2
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2474
- Mailing Country
- US
- Practice Street Address
- 556 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1105
- Practice Country
- US
- Practice Phone
- (585) 442-8422
- Practice Fax
- (585) 442-8494
- Enumeration Date
- July 19, 2022
- Last Updated
- January 05, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)