Individual provider · Type 1 NPI
Afeisha Kizzyann Modeste Holsey
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Freeport, NY
NPI number
1639037583
Active
Practice location
178 Porterfield Pl
Freeport, NY 11520-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 805666 (NY) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1639037583
Afeisha Kizzyann Modeste Holsey's National Provider Identifier is 1639037583, issued on Jan 12, 2026. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Freeport, NY. The record was last updated on Jan 12, 2026.