Doctor Name: | HOLLY L PAVLIN |
NPI Number: | 1023268752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | 392007-1 |
Business Practice Address: | 411 Main St Fl 3 Catskill, NY - 124141363 |
Business Phone Number: | 5187193600 |
Business Fax Number: | 5187193783 |
Mailing Address: | 411 Main St Fl 3, CATSKILL |
State: | NY |
Postal Code: | 124141363 |
Phone Number: | 5187193600 |
Fax Number: | 5187193783 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 392007-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |