Individual
COLLEEN DOLAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1526 WALDEN AVE, # 900, CHEEKTOWAGA, NY 14225-4965
(716) 897-9670
Mailing address
1526 WALDEN AVE, # 900, CHEEKTOWAGA, NY 14225-4965
(716) 897-9670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
234628-1
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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