National Provider Identifier
Calvin Dejong
Calvin Dejong is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 603-3500.
Profile Overview
- NPI
- 1154898419
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- October 25, 2018
- Last Updated
- October 25, 2018
Practice Location
- 6 Affinity Ln # 2
- Buffalo, NY 14215-2937
Phone: (716) 603-3500
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1154898419
- Entity Type
- Individual
- Last Name
- Dejong
- First Name
- Calvin
- Mailing Street Address
- 6 Affinity Ln # 2
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2937
- Mailing Country
- US
- Mailing Phone
- (716) 603-3500
- Practice Street Address
- 6 Affinity Ln # 2
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2937
- Practice Country
- US
- Practice Phone
- (716) 603-3500
- Enumeration Date
- October 25, 2018
- Last Updated
- October 25, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)