Individual
MICHAEL ROBERT NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 OSWEGO ROAD, SUITE 220, LIVERPOOL, NY 13090
(315) 652-6551
(315) 652-9698
Mailing address
8100 OSWEGO ROAD, SUITE 220, LIVERPOOL, NY 13090
(315) 652-6551
(315) 652-9698
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
202352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01529900
—
NY
01
—
015326
MVP HEALTHCARE INSURER
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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