Individual provider · Type 1 NPI

Ben Holm, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Albany, NY

NPI number 1588077580 Active

Practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

38 Andrew Ln
Mount Tremper, NY 12457-5315

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X017379 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1588077580

Ben Holm, PHYSICIAN ASSISTANT's National Provider Identifier is 1588077580, issued on Jun 6, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albany, NY. The record was last updated on May 5, 2021.