Healthcare Provider Details

I. General information

NPI: 1073797353
Provider Name (Legal Business Name): RON YAAR M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2007
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 MONROE AVE STE B
PITTSFORD NY
14534-1311
US

IV. Provider business mailing address

706 GREEN VALLEY RD SUITE 104
GREENSBORO NC
27408-7038
US

V. Phone/Fax

Practice location:
  • Phone: 585-586-5166
  • Fax:
Mailing address:
  • Phone: 336-271-4930
  • Fax: 336-271-8466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number234767
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number234767
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: