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Tom Dolise
NPI 1710237094 · on the registry since 2012 · sole proprietor
Practice
- Address
- 350 S Wellwood Ave
Lindenhurst, NY 11757 - Phone
- (631) 867-6531
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York