Individual
SHEILA NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2144
(914) 493-8333
(914) 594-4366
Mailing address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2144
(914) 493-8333
(914) 594-4366
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
267706
NY
2080P0208X
Pediatric Infectious Diseases Physician
MD428132
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03120692
—
NY
01
—
A400084747
MEDICARE PTAN
NY
01
—
A400084748
MEDICARE PTAN
NY
Enumeration date
07/30/2007
Last updated
08/04/2015
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