Individual
MR. STEPHEN JONATHAN DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCPT, RPFT
Contact information
Practice address
111 LANDAU AVE, FLORAL PARK, NY 11001-3600
(516) 361-0113
(516) 358-7159
Mailing address
111 LANDAU AVE, FLORAL PARK, NY 11001-3600
(516) 361-0113
(516) 358-7159
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
0000508
NY
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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