Individual
GAIL HOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
299 BOW DR, HAUPPAUGE, NY 11788-1721
(631) 974-6937
Mailing address
299 BOW DR, HAUPPAUGE, NY 11788-1721
(631) 974-6937
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301089
NY
363LA2200X
Adult Health Nurse Practitioner
301089-01
NY
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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