Doctor Name: | MR. STEPHEN JONATHAN DOLAN |
NPI Number: | 1184820219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RCPT, RPFT |
License Number: | 0000508 |
Business Practice Address: | 111 Landau Ave Floral Park, NY - 110013600 |
Business Phone Number: | 5163610113 |
Business Fax Number: | 5163587159 |
Mailing Address: | 111 Landau Ave, FLORAL PARK |
State: | NY |
Postal Code: | 110013600 |
Phone Number: | 5163610113 |
Fax Number: | 5163587159 |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | 0000508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |