Individual
MRS. ANZHELA NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 VINEYARD WAY, MOUNT SINAI, NY 11766-1829
(631) 880-3782
Mailing address
16 VINEYARD WAY, MOUNT SINAI, NY 11766-1829
(631) 880-3782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307148-1
NY
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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