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1780395434
IDA A HOLT
JAMAICA, NY
NPI
1780395434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404454)
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
Ms. IDA A HOLT PMHNP-BC
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-4027
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Mailing Address
Ms. IDA A HOLT PMHNP-BC
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-4027
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