Provider Demographics
NPI:1952626145
Name:DOLAN, ARTHUR (RN)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:DOLAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9515 HORACE HARDING EXPY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4154
Mailing Address - Country:US
Mailing Address - Phone:171-869-9919
Mailing Address - Fax:171-869-9076
Practice Address - Street 1:9515 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-4154
Practice Address - Country:US
Practice Address - Phone:171-869-9919
Practice Address - Fax:171-869-9076
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY462629-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse