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Individual

PAUL S HOLLEY

Active
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Individual

PAUL S HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204064
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010198101
UNIVERA PROVIDER NUMBER
NY
01
—
000524400003
BC WESTERN NY PROVIDER #
NY
01
—
0109568
INDEPENDENT HEALTH
NY
05
—
01669929
—
NY
Enumeration date
12/28/2005
Last updated
11/30/2020
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