Individual
DR. GARY ALAN HOLTZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20504 HILLSIDE AVE, HOLLIS, NY 11423-2218
(718) 464-2020
(718) 464-2020
Mailing address
20504 HILLSIDE AVE, HOLLIS, NY 11423-2218
(718) 464-2020
(718) 464-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0049031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01263827
—
NY
Enumeration date
03/28/2006
Last updated
07/10/2020
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