Individual
MR. ROBERT STORM CILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
933 ELIZABETH ST, OGDENSBURG, NY 13669-3425
(315) 393-1700
(315) 393-1700
Mailing address
933 ELIZABETH ST, OGDENSBURG, NY 13669-3425
(315) 393-1700
(315) 393-1700
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
056475
NY
2255A2300X
Athletic Trainer
000288-1
NY
Other
Enumeration date
12/09/2006
Last updated
09/11/2025
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