Provider Demographics
NPI:1013396399
Name:NADLER, LOIS JUNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:JUNE
Last Name:NADLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOWARD RD
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-1407
Mailing Address - Country:US
Mailing Address - Phone:516-628-0893
Mailing Address - Fax:
Practice Address - Street 1:1 HOWARD RD
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-1407
Practice Address - Country:US
Practice Address - Phone:516-628-0893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY475092-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY163W00000XOtherTAXONOMY CODE