Individual
JONATHON ROBERT HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718844
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404393
NY
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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