National Provider Identifier

Peter J. Dolan, PA

Peter J. Dolan, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Avon, NY and a listed phone number of (585) 226-4560.

NPI 1205059185Avon, NYPhysician Assistant

Profile Overview

NPI
1205059185
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 10, 2007
Last Updated
July 11, 2011

Practice Location

  • 2077 Lakeville RD
  • Suite 3
  • Avon, NY 14414

Phone: (585) 226-4560

Mailing Address

  • 3 Park St.
  • Geneseo, NY 14454

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1205059185
Entity Type
Individual
Last Name
Dolan
First Name
Peter
Middle Name
J.
Name Prefix
Mr.
Credential
PA
Mailing Street Address
3 Park St.
Mailing City
Geneseo
Mailing State
NY
Mailing ZIP Code
14454
Mailing Country
US
Mailing Phone
(585) 243-6441
Practice Street Address
2077 Lakeville RD
Practice Address Line 2
Suite 3
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414
Practice Country
US
Practice Phone
(585) 226-4560
Practice Fax
(585) 226-4565
Enumeration Date
April 10, 2007
Last Updated
July 11, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)