Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Herendeen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174056477

Jeffrey Herendeen is a Student in an Organized Health Care Education/Training Program in Depew, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4899 Transit Rd
Depew, NY 14043-4776
Phone: (716) 558-5437
Fax: (716) 558-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 219 Bryant St, Buffalo, NY 14222-2006 — (716) 878-7432

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 302218 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174056477
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address4899 Transit Rd, Depew, NY 14043-4776

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