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Contact Information

PETER J DOLAN, PA
2077 LAKEVILLE RD
SUITE 3
AVON, NY14414
 Phone: 585-226-4560
 Fax: 585-226-4565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PETER J DOLAN · (Male)

NPI Number 1205059185
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/10/2007
Last updated 07/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 001128
Hospital affiliation(s) Not Available
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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