National Provider Identifier

Philip Isaac Niles, MD

Philip Isaac Niles, MD is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician in Williamsville, NY and a listed phone number of (716) 631-3300.

NPI 1609136126Williamsville, NYRetina Specialist (Ophthalmology) Physician

Profile Overview

NPI
1609136126
Provider Type
Individual
Primary Specialty
Retina Specialist (Ophthalmology) Physician
Enumeration Date
May 17, 2012
Last Updated
April 17, 2020

Practice Location

  • 6480 Main St
  • Suite 1
  • Williamsville, NY 14221-5852

Phone: (716) 631-3300

Specialties

  • Retina Specialist (Ophthalmology) Physician (207WX0107X)
Full Record
NPI
1609136126
Entity Type
Individual
Last Name
Niles
First Name
Philip
Middle Name
Isaac
Name Prefix
Mr.
Credential
MD
Mailing Street Address
6480 Main St
Mailing Address Line 2
Suite 1
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5852
Mailing Country
US
Mailing Phone
(716) 631-3300
Mailing Fax
(716) 631-3303
Practice Street Address
6480 Main St
Practice Address Line 2
Suite 1
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5852
Practice Country
US
Practice Phone
(716) 631-3300
Practice Fax
(716) 631-3303
Enumeration Date
May 17, 2012
Last Updated
April 17, 2020
Sex
Male
Sole Proprietor
No
Certification Date
April 17, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Retina Specialist (Ophthalmology) Physician (207WX0107X)