Dr Patricia M Nolan, MD is a
Allergy & Immunology physician based in Lake Ronkonkoma, New York. Dr Patricia M Nolan is licensed to practice in New York (license number 144378) and her current practice location is 640 Hawkins Ave, Lake Ronkonkoma, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 737-0100.
NPI number for Dr Patricia M Nolan is 1609818772 and her current mailing address is 55 Water St, 12th Fl., Credentialing, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609818772.
Physician's Profile
| Full Name | Dr Patricia M Nolan |
|---|
| Gender | Female |
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| Speciality | Allergy & Immunology |
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| Location | 640 Hawkins Ave, Lake Ronkonkoma, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609818772
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 11/09/2017
Medical Identifiers
Medical identifiers for Dr Patricia M Nolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609818772 | NPI | - | NPPES |
| 00704930 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 144378 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Patricia M Nolan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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