Individual
GERTHA THERESE BENOIT-HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5 FISK RD, HOLTSVILLE, NY 11742
(516) 768-9560
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F308323-1
NY
Other
Enumeration date
03/01/2018
Last updated
05/30/2018
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