Provider Demographics
NPI:1477839157
Name:DOLCE, JUDY A (LPN)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:A
Last Name:DOLCE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 HIGH HOPE DR
Mailing Address - Street 2:
Mailing Address - City:OTISVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10963-2926
Mailing Address - Country:US
Mailing Address - Phone:347-480-0561
Mailing Address - Fax:
Practice Address - Street 1:10 NORWALK LN
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3136
Practice Address - Country:US
Practice Address - Phone:347-480-0561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304365164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse