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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