National Provider Identifier
Ethan Young
Ethan Young is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Rochester, NY and a listed phone number of (585) 924-4000.
Profile Overview
- NPI
- 1891583720
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- April 29, 2025
- Last Updated
- April 29, 2025
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 924-4000
Mailing Address
- 6703 Dugway RD
- Conesus, NY 14435-9542
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1891583720
- Entity Type
- Individual
- Last Name
- Young
- First Name
- Ethan
- Mailing Street Address
- 6703 Dugway RD
- Mailing City
- Conesus
- Mailing State
- NY
- Mailing ZIP Code
- 14435-9542
- Mailing Country
- US
- Mailing Phone
- (585) 350-6963
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 924-4000
- Enumeration Date
- April 29, 2025
- Last Updated
- April 29, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 29, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)