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Contact Information

NOLYN C NYATANGA, DO
260 W SUNRISE HWY
VALLEY STREAM, NY11581-1011
 Phone: 718-732-4049
 Fax: 631-751-0506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NOLYN C NYATANGA · (Female)

NPI # 1518101708
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/01/2009
Last updated 02/16/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2015010241
  • NY Medicaid 03906787
Hospital affiliation(s)
  • CAPITAL REGION MEDICAL CENTER - (Acute Care)
    1125 MADISON ST
    JEFFERSON CITY, MO 65102
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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