Individual
DR. MICHAEL A NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1299 PORTLAND AVE, STE 16, ROCHESTER, NY 14621
(585) 266-3300
(585) 266-2163
Mailing address
1299 PORTLAND AVE, STE 16, ROCHESTER, NY 14621
(585) 266-3300
(585) 266-2163
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1436371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430097
—
NY
01
—
0181311590
EXCELLUS BCBS
—
01
—
102371CU
PREFERRED CARE
—
Enumeration date
08/01/2006
Last updated
07/08/2007
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