Individual
DR. GRACE D HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 CALVARY DR, NORWICH, NY 13815-1032
(607) 336-6362
(607) 336-2028
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 336-6362
(607) 336-2028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01013496
—
NY
Enumeration date
04/28/2006
Last updated
04/08/2008
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