Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NIEL J SQUILLANTE, M.D.
Active Sole ProprietorMR. NIEL J SQUILLANTE, M.D. is a Sports Medicine (Emergency) healthcare provider located in BEDFORD, New York. NPI 1790877603 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · BEDFORD, NY
Registration Details
- NPI Number
- 1790877603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.923594135566 yrs)
- Last Updated
- Oct 24, 2022
- Licenses
-
104042 (NY)104042 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12 SMITH FARM RDBEDFORD, NY, 105062030Browse NY providers · Browse ZIP 10506
- Phone
- 9144193554
- Fax
- 9142340230
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Ophthalmology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.