Individual
MRS. DOLORES POLYCARPE HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013936
NY
Other
Enumeration date
09/08/2009
Last updated
04/05/2010
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