Individual
THOMAS MICHAEL DOLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
380 HARDING RD, WILLIAMSVILLE, NY 14221-7113
(716) 430-6163
Mailing address
380 HARDING RD, WILLIAMSVILLE, NY 14221-7113
(716) 430-6163
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
F303458
NY
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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