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General NPI Number Information
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NPI Number | 1659227577
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Entity Type | Organization
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Legal Business Name | MICHAEL A. YASSICK, NURSE PRACTITIONER IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1880 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14622-2473
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Country | US
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Telephone | 585-209-0681
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Fax | 810-202-7604
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Provider Business Mailing Address
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Address Line | 1880 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14622-2473
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Country | US
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Telephone | 585-209-0681
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Fax | 810-202-7604
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Authorized Official
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Title or Position | NURSE PRACTITIONER IN PSYCHIATRY
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Name | MICHAEL YASSICK
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Credential | NP
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Telephone | 810-869-5977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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