Individual
JOHN NILES, JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 HINCHEY RD, ROCHESTER, NY 14624-2930
(585) 467-2230
Mailing address
72 HINCHEY RD, ROCHESTER, NY 14624-2930
(585) 467-2230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-6384
NY
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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