Provider Demographics
NPI:1891088522
Name:NADOLNY, NINA M
Entity Type:Individual
Prefix:MS
First Name:NINA
Middle Name:M
Last Name:NADOLNY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 UNION RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2013
Mailing Address - Country:US
Mailing Address - Phone:716-675-3380
Mailing Address - Fax:716-675-3380
Practice Address - Street 1:1909 UNION RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2013
Practice Address - Country:US
Practice Address - Phone:716-675-3380
Practice Address - Fax:716-675-3380
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009254225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist