Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 180283 | NY |
NPI | 1043575210 |
---|---|
Provider Name | Dr. Margaret-Mary Holyst |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14623-4273 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 12/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F52251 | (02) | NY |