National Provider Identifier
Jacob Janicki, ATC
Jacob Janicki, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 888-8454.
Profile Overview
- NPI
- 1609319326
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- November 29, 2016
- Last Updated
- November 29, 2016
Practice Location
- 2001 Main St
- Buffalo, NY 14208-1035
Phone: (716) 888-8454
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1609319326
- Entity Type
- Individual
- Last Name
- Janicki
- First Name
- Jacob
- Name Prefix
- Mr.
- Credential
- ATC
- Mailing Street Address
- 2001 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1035
- Mailing Country
- US
- Mailing Phone
- (716) 888-8454
- Practice Street Address
- 2001 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14208-1035
- Practice Country
- US
- Practice Phone
- (716) 888-8454
- Enumeration Date
- November 29, 2016
- Last Updated
- November 29, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)