NPI 1184820219

Stephen Jonathan Dolan, RCPTRPFT

Practitioner Other Technician Floral Park, NY

Practice location

Address: 111 Landau Ave, Floral Park, NY 11001-3600
Phone: (516) 361-0113
Fax: (516) 358-7159

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 0000508 (NY)

Other Technician, Other providers in New York →

Registry record

NPI: 1184820219
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.