Holland, Deirdre Jean

Holland, Deirdre Jean is an sole proprietor health care provider with primary practice located at 28 E Old Country Rd , Hicksville NY 11801-4292. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Holland, Deirdre Jean can be contacted via phone (516) 330-8422.

Contact Information

Primary practice address
28 E Old Country Rd Hicksville NY 11801-4292
Fax: (516) 294-1388
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 069863-1 New York

Profile Details

NPI number 1588604292
LBN Legal business name Holland, Deirdre Jean
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Aug 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588604292 NPPES
New York MEDICAID 02773513

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