Individual
MR. JEREMY TIERMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSS, ATC
Contact information
Practice address
4355 LAKESHORE DR, FINGER LAKES COMMUNITY COLLEGE, CANANDAIGUA, NY 14424-8347
(585) 394-3500
(585) 394-5005
Mailing address
94 SENECA DR, CANANDAIGUA, NY 14424-1145
(585) 396-7259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001118-1
NY
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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