Individual
MS. CAMILLE SUSAN HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED SAS SDA
Contact information
Practice address
270 1ST AVE, APT. 2H, NEW YORK, NY 10009-2619
(917) 862-5881
Mailing address
270 1ST AVE, APT. 2H, NEW YORK, NY 10009-2619
(917) 862-5881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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