Provider Demographics
NPI:1598815540
Name:NOLAN, WILLIAM B III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:NOLAN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:359 E MAIN ST
Mailing Address - Street 2:FOURTH FLOOR, DR. BANK ASSOCIATES
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3028
Mailing Address - Country:US
Mailing Address - Phone:914-241-3003
Mailing Address - Fax:914-241-1525
Practice Address - Street 1:359 E MAIN ST
Practice Address - Street 2:FOURTH FLOOR, DR. BANK ASSOCIATES
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3028
Practice Address - Country:US
Practice Address - Phone:914-241-3003
Practice Address - Fax:914-241-1525
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2008-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG409162082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400004640Medicare PIN