Holly Detore is a Specialist based in Bohemia, NY. Holly Detore practices in Ronkonkoma, NY. The NPI Number for Holly Detore is 1992577290 and holds a License No. (New York).
The current practice location address for Holly Detore is 624 Hawkins Ave, Ronkonkoma, NY and can be reached out via phone at 631-240-3579.
Location: 624 Hawkins Ave, Ronkonkoma, NY, 11716-4901
Provider Profile Details
NPI Number
1992577290
Provider Name
Holly Detore
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Hawkins Ave, Ronkonkoma, NY, 11716-4901
Phone Number
631-240-3579
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
624 Hawkins Ave
City
State
Zip
11779-2375
Phone Number
631-240-3579
Fax Number
Provider Business Mailing Address Details
Address
624 Hawkins Ave
City
State
Zip
11779-2375
Phone Number
631-240-3579
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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