Provider Demographics
NPI:1679136378
Name:NOLAN, BIRX FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:BIRX
Middle Name:FRANCES
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BIRX
Other - Middle Name:FRANCES
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:792 N MAIN ST STE 100A
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-1658
Mailing Address - Country:US
Mailing Address - Phone:315-422-2222
Mailing Address - Fax:
Practice Address - Street 1:792 N MAIN ST STE 100B
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-1661
Practice Address - Country:US
Practice Address - Phone:315-422-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY323221207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty