MRS. Holly Detore

NPI #1992577290 in Ronkonkoma, New York

Provider Information

NPI Number
1992577290
Entity Type
Individual
Name
MRS. Holly Detore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Oct 30, 2023
Last Updated
Oct 30, 2023

Practice Location

Address
624 HAWKINS AVE
ZIP Code
11779-2375
Phone
(631) 240-3579

Specialties & Taxonomy Codes

Specialty
Specialist

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