Organization
ROBERT NICOLETTA MD SOUTHERN TIER SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J NICOLETTA MD (SOLE OWNER)
(585) 243-7620
Entity
Organization
Contact information
Practice address
61 MAIN ST, STE 5, GENESEO, NY 14454-1255
(585) 243-7620
(585) 243-1132
Mailing address
61 MAIN ST, STE 5, GENESEO, NY 14454-1255
(585) 243-7620
(585) 243-1132
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
221144
NY
Other
Enumeration date
01/13/2009
Last updated
07/08/2009
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