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Dr. Nicholas I Kilmer
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Nicholas I Kilmer |
Gender: | M |
Provider License Number If Given: | 51243 |
NPI Information:
NPI: | 1154316669 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 9/12/2005 |
Last Update Date: | 7/15/2013 |
Provider Business Mailing Address:
Address: | 1425 PORTLAND AVE Rochester, NY 14621 |
Phone Number: | 5859223220 |
Fax Number: | 5854428319 |
Provider Business Practice Location Address:
Address: | 1425 PORTLAND AVE Rochester, NY 14621 |
Phone Number: | 5859223220 |
Fax Number: | 5854428319 |
Provider Taxonomy:
Primary: | 207QS0010X |
Secondary (if any): | 207QS0010X |
State: | NY |