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General NPI Number Information
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NPI Number | 1114978079
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Entity Type | Individual
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Provider Name | SAMUEL YOST MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 1561 LONG POND RD STE 133
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City | ROCHESTER
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State | NY
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Zip | 14626-4136
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Country | US
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Telephone | 585-723-7670
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Fax | 585-723-7671
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-3395
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Fax | 585-922-5114
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 302495
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD061848L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 302495
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License Number State | NY
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