Individual provider · Type 1 NPI

Desiree Aviance Holly

General Practice Registered Nurse · Brooklyn, NY

NPI number 1457094724 Active

Practice location

12 Metrotech, 29 Th Floor
Brooklyn, NY 11201

Call (718) 422-4200 Map

Mailing address

830 Ashford St Apt 7G
Brooklyn, NY 11207-8108

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X790821 (NY)

General Practice Registered Nurse: Definition to come...

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About NPI 1457094724

Desiree Aviance Holly's National Provider Identifier is 1457094724, issued on Apr 15, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 19, 2022.