Individual
DAVID R HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4518
(585) 336-5113
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4518
(585) 336-5113
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
297754
NY
208600000X
Surgery Physician
Primary
297754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203979059
MEDICARE PTAN
IL
Enumeration date
01/27/2006
Last updated
02/24/2020
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