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

Mr. Jacob Janicki, ATC

Individual provider Athletic Trainer · NPI 1609319326

Mr. Jacob Janicki, ATC is an Athletic Trainer in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2001 Main St
Buffalo, NY 14208-1035
Phone: (716) 888-8454
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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 002815-1 (NY)

Record details

NPI number1609319326
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 29, 2016
Last updated in NPPESNovember 29, 2016

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