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NPI Code Detail

MEDICARE: NICOLE CHIMERA

MEDICARE: NICOLE CHIMERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer002125-1NY

General Provider Information

NPI Number : 1871901421
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE CHIMERA
Provider Business Mailing Address
First Line : 4380 MAIN ST
Second Line :
City : AMHERST
State : NY
Zip : 14226-3544
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4380 MAIN ST
Second Line :
City : AMHERST
State : NY
Zip : 14226-3544
Country : US
Telephone Number : 716-839-8413
Fax Number : 716-839-8314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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Directions to “ NICOLE CHIMERA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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