TLC MEDICAL CLINIC NPI 1053363168

NPI Information

TLC MEDICAL CLINIC is a medical genetics phd medical genetics in Wilton, NY. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. TLC MEDICAL CLINIC NPI is 1053363168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 MOUNTAIN LEDGE
SUITE 2
WILTON, NY
ZIP 12831-858
Phone: (518) 226-0755
Fax: (518) 226-0758

The provider's authorized official is Frank J Nocilla .
The authorized official title is Owner and has the following contact phone number (518) 226-0755.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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