Individual
DR. HOLLY MARIE KONCICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6609
Mailing address
1 GUSTAVE L LEVY PL # 3000, NEW YORK, NY 10029-6504
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
258591
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2008
Last updated
07/21/2022
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