National Provider Identifier

Jeffrey William Debellis, ATC

Jeffrey William Debellis, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Rochester, NY and a listed phone number of (585) 341-9200.

NPI 1629683933Rochester, NYAthletic Trainer

Profile Overview

NPI
1629683933
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
September 14, 2020
Last Updated
September 14, 2020

Practice Location

  • 10 S Pointe Lndg
  • Rochester, NY 14606-3481

Phone: (585) 341-9200

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1629683933
Entity Type
Individual
Last Name
Debellis
First Name
Jeffrey
Middle Name
William
Credential
ATC
Mailing Street Address
10 S Pointe Lndg
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-3481
Mailing Country
US
Practice Street Address
10 S Pointe Lndg
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-3481
Practice Country
US
Practice Phone
(585) 341-9200
Enumeration Date
September 14, 2020
Last Updated
September 14, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
September 14, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)