Individual
LEONORA HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PENN PLAZA 8TH FLOOR, NEW YORK, NY 10119-0002
(212) 216-6436
Mailing address
299 HAWTHORNE AVE, UNIONDALE, NY 11553-1501
(516) 505-5903
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306990-1
NY
Other
Enumeration date
08/22/2014
Last updated
11/20/2015
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