National Provider Identifier

Jeffrey Herendeen

Jeffrey Herendeen is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 878-7432.

NPI 1174056477Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1174056477
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 04, 2017
Last Updated
April 04, 2017

Practice Location

  • 219 Bryant St
  • Buffalo, NY 14222-2006

Phone: (716) 878-7432

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1174056477
Entity Type
Individual
Last Name
Herendeen
First Name
Jeffrey
Mailing Street Address
219 Bryant St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-2006
Mailing Country
US
Practice Street Address
219 Bryant St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-2006
Practice Country
US
Practice Phone
(716) 878-7432
Enumeration Date
April 04, 2017
Last Updated
April 04, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)