# TLC MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053363168
- **Authorized official:** DR. FRANK J NOCILLA M.D. (OWNER)
- **Authorized official phone:** (518) 226-0755

## Contact information

- **Practice address:** 14 MOUNTAIN LEDGE, SUITE 2, WILTON, NY 12831-1858
- **Practice address phone:** (518) 226-0755
- **Practice address fax:** (518) 226-0758
- **Mailing address:** 14 MOUNTAIN LEDGE, SUITE 2, WILTON, NY 12831-1858
- **Mailing address phone:** (518) 226-0755
- **Mailing address fax:** (518) 226-0758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 196889 | NY | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/22/2020