Most Relevant Information
Provider Data
| NPI Number: | 1003684994 |
| Provider Name: | HOLLY JANE PANTALONE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 352683 |
Most Important Dates
| Enumeration Date: | 12/19/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
525 E 68TH ST STE J-130
NEW YORK
NY
100654870
Practice Location Phone/Fax
| Phone: | 2127463000 |
| Fax: |
Provider Mailing Location
1320 YORK AVE APT 15D
NEW YORK
NY
100214857
Provider Mailing Phone/Fax
| Phone: | 3307032108 |
| Fax: |