Individual
ROGER HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 245-4890
Mailing address
445 LENOX RD, BOX 1262, BROOKLYN, NY 11203-2017
(718) 245-4890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
218282-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02117182
—
NY
Enumeration date
10/27/2005
Last updated
07/08/2007
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