Individual
ONIKA AYANNA HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-4617
(212) 263-1051
Mailing address
LONG ISLAND CONSULTATION CENTER, 91-31 QUEENS BLVD, QUEENS, NY 11373
(718) 896-3400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430747
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404543
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404543
NY PSYCHIATRY LICENCE
NY
Enumeration date
10/18/2013
Last updated
11/27/2023
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