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Individual

MARY ELIZABETH HOLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1561 LONG POND RD, SUITE 303, ROCHESTER, NY 14626-4117
(585) 368-6500
(585) 368-6501
Mailing address
1561 LONG POND RD, SUITE 303, ROCHESTER, NY 14626-4117
(585) 368-6500
(585) 368-6501

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300739
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03291650
NY
Enumeration date
02/23/2007
Last updated
01/10/2014
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