Individual
MRS. DENISE HOMOLKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 E WALNUT ST, LONG BEACH, NY 11561-3621
(516) 445-3380
Mailing address
451 E WALNUT ST, LONG BEACH, NY 11561-3621
(516) 445-3380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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