Individual
JENNIFER ANN HOLTZBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
25 MOTT ST, STATEN ISLAND, NY 10312-3405
(718) 340-8322
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
431802
NY
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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