Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS R HENNEBERG, ATC
Active Sole ProprietorDOUGLAS R HENNEBERG, ATC is a Sports Medicine (PM&R) healthcare provider located in ROCHESTER, New York. NPI 1164096962 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · ROCHESTER, NY
Registration Details
- NPI Number
- 1164096962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2021 (5.2865667709117 yrs)
- Last Updated
- May 17, 2021
- License
-
001092 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 E HENRIETTA RDROCHESTER, NY, 146235701Browse NY providers · Browse ZIP 14623
- Phone
- 5852922848
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in ROCHESTER, NY
| Name | Credential | NPI |
|---|---|---|
| BARRETT WEISS | MD | 1366002511 |
| JOE FINGLER | ATC, CSCS | 1346853595 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.