Individual
MRS. HOLLY ANN BESAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-3680
Mailing address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-3680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
NY
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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