Individual
ALLYSON SUPOWITZ NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1526 WALDEN AVE, CHEEKTOWAGA, NY 14225-4965
(716) 882-3777
Mailing address
1526 WALDEN AVE, CHEEKTOWAGA, NY 14225-4965
(716) 882-3777
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
061281
NY
1223P0300X
Periodontics
DS042783
PA
Other
Enumeration date
06/09/2017
Last updated
07/28/2025
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