Search › New York › 174400000X
Holly Detore
NPI 1992577290 · on the registry since 2023
Practice
- Address
- 624 Hawkins Ave
Ronkonkoma, NY 11779 - Phone
- (631) 240-3579
- Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York