NPI 1033815121

John Niles, Jr

Practitioner Peer Specialist Rochester, NY

Practice location

Address: 72 Hinchey Rd, Rochester, NY 14624-2930
Phone: (585) 467-2230

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CRPA-P-6384 (NY)

Other Peer Specialist providers in New York →

Registry record

NPI: 1033815121
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2023
Record last updated: 1 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.