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Individual

DANIELLA HOLZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
496 SMITHTOWN BYP STE 200, SMITHTOWN, NY 11787-5011
(631) 361-5300
Mailing address
15910 71ST AVE APT 4D, FLUSHING, NY 11365-3028
(201) 906-4434

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026324
NY
363A00000X
Physician Assistant

Other

Enumeration date
12/21/2020
Last updated
02/01/2022
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