Individual
TANYA MONIQUE SYDNOR HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
445 OAK ST, COPIAGUE, NY 11726-3111
(631) 786-0147
Mailing address
1488 DEER PARK AVE # 188, NORTH BABYLON, NY 11703-1208
(631) 786-0147
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403261
NY
Other
Enumeration date
10/14/2020
Last updated
06/06/2022
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