Individual
MR. SCOTT HOLMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.T.S.E.
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
102 HARPERS CT, DE WITT, NY 13214-2340
(315) 450-0213
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1818871
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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