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

Jeremiah Sorenson

Individual provider Athletic Trainer · NPI 1558603308

Jeremiah Sorenson is an Athletic Trainer in Endicott, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

2113 Newell Rd Apt 1
Endicott, NY 13760-3220
Phone: (315) 730-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 67 002320 (NY)

Record details

NPI number1558603308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2013
Last updated in NPPESMarch 20, 2013
Mailing address2113 Newell Rd, Apartment 1, Endicott, NY 13760-3220

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