Provider Demographics
NPI:1164144986
Name:HOLZER, ANN ESTHER
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:ESTHER
Last Name:HOLZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WOOD LN
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2244
Mailing Address - Country:US
Mailing Address - Phone:516-242-7681
Mailing Address - Fax:718-743-7630
Practice Address - Street 1:103 WOOD LN
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2244
Practice Address - Country:US
Practice Address - Phone:516-242-7681
Practice Address - Fax:718-743-7630
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040527104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker