Individual
DR. HOLLY ELIZABETH KANAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(866) 633-8255
Mailing address
26 BROCKMEYER DR, MASSAPEQUA, NY 11758-7803
(516) 798-7571
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
250669
NY
Other
Enumeration date
06/14/2010
Last updated
09/16/2014
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