Provider Demographics
NPI:1578873816
Name:TOOLAN, NOREEN ELIZABETH (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:ELIZABETH
Last Name:TOOLAN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 FAHEY DR
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-1853
Mailing Address - Country:US
Mailing Address - Phone:845-942-8572
Mailing Address - Fax:
Practice Address - Street 1:131 N MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1911
Practice Address - Country:US
Practice Address - Phone:845-353-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022386-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist