Individual
HOLLY SHIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 WEXFORD ST, HUNTINGTON, NY 11743-6325
(631) 484-0309
Mailing address
13 WEXFORD ST, HUNTINGTON, NY 11743-6325
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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