Jesse Hollis D.O.

NPI 1669755112 - Surgery - 208600000X

NPI Details
NPI 1669755112
Gender Male
Enumeration Date 09/21/2011
Last Updated 09/21/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
374 STOCKHOLM ST
BROOKLYN NY, 11237-4006, US
Phone (718) 963-7272
Fax
Business Location
105 S PERU ST
PLATTSBURGH NY, 12901-3808, US
Phone (518) 569-9099
Fax
Toxanomy
Taxonomy Code 208600000X
License State New York
License Number 222537
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According to our database, Dr. Jesse Hollis D.O. NPI is 1669755112, taxonomy code is 208600000X and license number is 222537, license state is located at New York. Jesse Hollis D.O. physically located at 374 Stockholm St, Brooklyn NY, 11237-4006. NPI Number Jesse Hollis D.O. has the Individual type.

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1669755112 NPI number is provided on an as is basis without warranty of any kind. 1669755112 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse Hollis D.O. are for informational purposes only.