National Provider Identifier
John Niles, Jr
John Niles, Jr is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 467-2230.
Profile Overview
- NPI
- 1033815121
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- February 01, 2023
- Last Updated
- February 01, 2023
Practice Location
- 72 Hinchey RD
- Rochester, NY 14624-2930
Phone: (585) 467-2230
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1033815121
- Entity Type
- Individual
- Last Name
- Niles, Jr
- First Name
- John
- Mailing Street Address
- 72 Hinchey RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-2930
- Mailing Country
- US
- Mailing Phone
- (585) 467-2230
- Practice Street Address
- 72 Hinchey RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-2930
- Practice Country
- US
- Practice Phone
- (585) 467-2230
- Enumeration Date
- February 01, 2023
- Last Updated
- February 01, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)