Individual
MRS. LOU ANN HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 YORKTOWN RD, SETAUKET, NY 11733-1213
(631) 751-2171
Mailing address
22 YORKTOWN RD, SETAUKET, NY 11733-1213
(631) 751-2400
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
302560
NY
Other
Enumeration date
06/09/2008
Last updated
04/20/2012
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