Individual
HOLLY DENISE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065-2807
(518) 688-0295
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
313869
NY
208000000X
Pediatrics Physician
48383
KY
Other
Enumeration date
06/05/2012
Last updated
01/03/2022
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