Individual provider · Type 1 NPI

Bram Izutsu Holladay, DMD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1881449239 Active

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Call (212) 241-4398 Map

Fax (646) 537-9681

Mailing address

1468 Madison Ave Bldg 15th
New York, NY 10029-6508

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881449239

Bram Izutsu Holladay, DMD's National Provider Identifier is 1881449239, issued on Apr 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 19, 2024.