Dr. James Richard Dolan Jr., DSW
Social Worker, Clinical in Lindenhurst, NY. Individual provider (NPI-1).
NPI number1164570495
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164570495
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Richard Dolan Jr.
- Credential
- DSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | RO52824-1 | NY | Yes |
Practice location
199 N Wellwood AveSuite 4
Lindenhurst, NY 11757-4003
Phone 631-807-0940
Mailing address
87 N Walnut StNorth Massapequa, NY 11758-3015
Phone 631-807-0940
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