Individual
FRANK J NOCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
571 SAINT JOSEPHS BLVD, 2ND FLOOR, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
196889
NY
208M00000X
Hospitalist Physician
Primary
196889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400237752
MEDICARE PTAN
NY
Enumeration date
09/27/2006
Last updated
11/29/2016
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