Provider Demographics
NPI:1821050014
Name:GARBER, HOLLY R (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:R
Last Name:GARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 MONROE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1308
Mailing Address - Country:US
Mailing Address - Phone:585-586-9290
Mailing Address - Fax:
Practice Address - Street 1:59 MONROE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1308
Practice Address - Country:US
Practice Address - Phone:585-586-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201279-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CC0319Medicare PIN