Individual
CHARLES R NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6333 MAIN ST, WILLIAMSVILLE, NY 14221-5800
(716) 632-3545
(716) 632-6368
Mailing address
6333 MAIN ST, WILLIAMSVILLE, NY 14221-5800
(716) 632-3545
(716) 632-6368
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
158661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01021452
—
NY
Enumeration date
05/01/2006
Last updated
08/13/2013
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