Individual
SUSAN HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 HONNESS RD, FISHKILL, NY 12524-2983
(845) 242-7302
Mailing address
303 HONNESS RD, FISHKILL, NY 12524-2983
(845) 242-7302
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
144864
NY
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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