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Organization

CELESTE SPENCER-HOLMES, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CELESTE SPENCER-HOLMES (OWNER)
(631) 608-5204
Entity
Organization

Contact information

Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5204
(631) 608-4112
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5204
(631) 608-4112

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
202776
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01871512
NY
Enumeration date
08/29/2014
Last updated
08/29/2014
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