Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore E. Nolan, PA

Individual provider Physician Assistant · NPI 1376570176

Theodore E. Nolan, PA is a Physician Assistant in Ardsley, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Bridge St
Ardsley, NY 10502-2136
Phone: (914) 693-8787
Fax: (914) 693-8525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009006 (NY)

Record details

NPI number1376570176
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 27, 2009
Mailing address174 Grand St, White Plains, NY 10601-4803

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