Most Relevant Information
Provider Data
| NPI Number: | 1003529025 |
| Provider Name: | CAROLINE GRACE HOLOCHWOST |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2023 |
| Last Updated: | 01/04/2023 |
Provider Practice Location
1448 5TH AVE
BAY SHORE
NY
117064147
Practice Location Phone/Fax
| Phone: | 6316473100 |
| Fax: |
Provider Mailing Location
1448 5TH AVE
BAY SHORE
NY
117064147
Provider Mailing Phone/Fax
| Phone: | 6316473100 |
| Fax: |