Dr Patricia M Nolan, MD | |
640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | |
(631) 737-0100 | |
(631) 417-1117 |
Full Name | Dr Patricia M Nolan |
---|---|
Gender | Female |
Speciality | Allergy & Immunology |
Location | 640 Hawkins Ave, Lake Ronkonkoma, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609818772 | NPI | - | NPPES |
00704930 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 144378 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Patricia M Nolan, MD 55 Water St, 12th Fl., Credentialing, New York, NY 10041-0004 Ph: (646) 680-2888 | Dr Patricia M Nolan, MD 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 Ph: (631) 737-0100 |
News Archive
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