Provider Demographics
NPI:1275694390
Name:DOOLEY, FRANCES (ANP)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-1203
Mailing Address - Country:US
Mailing Address - Phone:516-795-2626
Mailing Address - Fax:516-799-7451
Practice Address - Street 1:510 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1203
Practice Address - Country:US
Practice Address - Phone:516-795-2626
Practice Address - Fax:516-799-7451
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301452363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
2C7631OtherPHS
2034052OtherUHC
2102240OtherGHI
AA70382OtherMDNY
2C7631OtherHEALTHNET
36375POtherHIP
P3005106OtherOXFORD
0853G1OtherBLUE CROSS BLUE SHIELD
S92791Medicare UPIN
92N751Medicare ID - Type Unspecified