Individual
AFEISHA KIZZYANN MODESTE HOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 PORTERFIELD PL, FREEPORT, NY 11520-3119
(516) 589-2447
Mailing address
178 PORTERFIELD PL, FREEPORT, NY 11520-3119
(516) 589-2447
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
805666
NY
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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