Individual
LEROY HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4000
Mailing address
12 CROWN ST APT E7, BROOKLYN, NY 11225-1800
(718) 462-4184
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005378-1
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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