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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 |
