SearchNew York2255A2300X

Jacob Janicki, ATC

NPI 1609319326 · on the registry since 2016 · sole proprietor

Practice

Address
2001 Main St
Buffalo, NY 14208
Phone
(716) 888-8454
Clinicians at this address
25

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York