Individual
MR. JACOB JANICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2001 MAIN ST, BUFFALO, NY 14208-1035
(716) 888-8454
Mailing address
2001 MAIN ST, BUFFALO, NY 14208-1035
(716) 888-8454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002815-1
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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