DR. PATRICIA M. NOLAN MD

Allergy and Immunology

Lake Ronkonkoma, New York

Provider NPI: 1609818772

Provider Information:
DR. PATRICIA M. NOLAN MD


Practice Location:
640 HAWKINS AVE  LAKE RONKONKOMA, NY 11779 US
Tel: 631-737-0100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	NY	144378

Other Provider Identifiers:

Issuer	Number	State	Type
	00704930	NY	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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