Organization
PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN O HOLDER MD (OWNER)
(585) 899-3450
Entity
Organization
Contact information
Practice address
30 HAGEN DR, SUITE 230, ROCHESTER, NY 14625-2658
(585) 899-3450
(585) 899-3454
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02618835
—
NY
01
—
DC0842
RRMCR
—
Enumeration date
09/16/2005
Last updated
01/30/2008
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