Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 060808-1 | NY |
NPI | 1003069857 |
---|---|
Provider Name | David Scott Holtzman |
First Address | Huntington, NY 11743-4436 |
Second Address | Wyandanch, NY 11798-3123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2008 |
Last Update Date | 24/10/2008 |