Organization
NOUN NY LLC
Active
Organization
NOUN NY LLC
Active
Other names
Noun
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY ALEXIS HOLMES MD (CEO AND FOUNDER)
(332) 237-6075
Entity
Organization
Contact information
Practice address
16995 137TH AVE STE 19, JAMAICA, NY 11434-4517
(332) 237-6075
Mailing address
343 GOLD ST APT 709, BROOKLYN, NY 11201-3064
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
12/22/2021
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