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NPI Code Detail

MEDICARE: MR. THOMAS PATRICK DONLON SR. RN

MEDICARE:  MR. THOMAS PATRICK DONLON SR. RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse344677-1NY

General Provider Information

NPI Number : 1982832440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS PATRICK DONLON SR. RN
Provider Business Mailing Address
First Line : 1405 COBBLESTONE COURT
Second Line :
City : MIDDLE ISLAND
State : NY
Zip : 11953-1457
Country : US
Telephone Number : 631-451-8207
Fax Number :
Provider Business Practice Location Address
First Line : 1405 COBBLESTONE CT
Second Line :
City : MIDDLE ISLAND
State : NY
Zip : 11953-1457
Country : US
Telephone Number : 631-451-8207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 06/23/2009

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Directions to “ MR. THOMAS PATRICK DONLON SR. RN” Practice Location

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