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Individual

ELIZABETH ELAINE HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3501 30TH AVE STE 201, ASTORIA, NY 11103-4662
(917) 983-7390
(917) 983-7393
Mailing address
3811 DITMARS BLVD # 261, ASTORIA, NY 11105-2176

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306310
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405112
NY
363LW0102X
Women's Health Nurse Practitioner
421112
NY
364SA2200X
Adult Health Clinical Nurse Specialist
004860
CT

Other

Enumeration date
12/07/2011
Last updated
03/03/2026
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