Niles, Charles R

Niles, Charles R is an individual health care provider with primary practice located at 6333 Main St , Williamsville NY 14221-5800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Niles, Charles R can be contacted via phone (716) 632-3545.

Contact Information

Primary practice address
6333 Main St Williamsville NY 14221-5800
Phone: (716) 632-3545
Fax: (716) 632-6368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 158661 New York

Profile Details

NPI number 1053378109
LBN Legal business name Niles, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Aug 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053378109 NPPES
New York MEDICAID 01021452

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