Individual
JEREMIAH SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2113 NEWELL RD, APARTMENT 1, ENDICOTT, NY 13760-3220
(315) 730-5551
Mailing address
2113 NEWELL RD, APARTMENT 1, ENDICOTT, NY 13760-3220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67 002320
NY
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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