Provider Demographics
NPI:1760679492
Name:HOLZMAN, SARAH CHOI
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CHOI
Last Name:HOLZMAN
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 1:12 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5261
Mailing Address - Country:US
Mailing Address - Phone:845-594-9245
Mailing Address - Fax:
Practice Address - Street 1:12 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-5261
Practice Address - Country:US
Practice Address - Phone:845-594-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker