National Provider Identifier
Jeremy Joseph Herniman, ATC, CSCS
Jeremy Joseph Herniman, ATC, CSCS is listed in the NPPES registry with a primary specialty of Athletic Trainer in Canandaigua, NY and a listed phone number of (585) 396-6700.
Profile Overview
- NPI
- 1649556820
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- November 01, 2011
- Last Updated
- November 01, 2011
Practice Location
- 3170 West St
- Canandaigua, NY 14424-1712
Phone: (585) 396-6700
Mailing Address
- 5770 Oatfield Dr
- Farmington, NY 14425-9368
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1649556820
- Entity Type
- Individual
- Last Name
- Herniman
- First Name
- Jeremy
- Middle Name
- Joseph
- Name Prefix
- Mr.
- Credential
- ATC, CSCS
- Mailing Street Address
- 5770 Oatfield Dr
- Mailing City
- Farmington
- Mailing State
- NY
- Mailing ZIP Code
- 14425-9368
- Mailing Country
- US
- Mailing Phone
- (269) 806-3009
- Practice Street Address
- 3170 West St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1712
- Practice Country
- US
- Practice Phone
- (585) 396-6700
- Enumeration Date
- November 01, 2011
- Last Updated
- November 01, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)