Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 255900 | NY |
NPI | 1053572404 |
---|---|
Provider Name | Dr. Stuart Marc Holzer |
First Address | Stony Brook, NY 11790-0989 |
Second Address | East Setauket, NY 11733-4080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 28/04/2015 |