Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2025-05-19
- Last updated
- 2026-03-12
Licenses
The registry row did not include a license.
Location
- Practice location
- 34 TOTTEN PL
- City
- BABYLON NY
- Postal code
- 117022810
- Phone
- 631-975-2033
Organization contact
- Name
- PATRICK NOLAN
- Title
- Principle
- Phone
- 6319752033
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.