Nolan, Patricia M.

Nolan, Patricia M. is an individual health care provider with primary practice located at 640 Hawkins Ave , Lake Ronkonkoma NY 11779-2324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Nolan, Patricia M. can be contacted via phone (631) 737-0100.

Contact Information

Primary practice address
640 Hawkins Ave Lake Ronkonkoma NY 11779-2324
Fax: (631) 417-1117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 144378 New York

Profile Details

NPI number 1609818772
LBN Legal business name Nolan, Patricia M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 9th, 2017 - about 7 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 1609818772 NPPES
New York MEDICAID 00704930

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