Individual
LINDA M NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
76 BROAD AVE, BINGHAMTON, NY 13904-1406
(607) 239-3278
Mailing address
825 TAYLOR DR, VESTAL, NY 13850-3933
(607) 239-3278
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402703
NY
Other
Enumeration date
03/12/2019
Last updated
03/13/2023
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