Dr RANDOLPH A HOLLY is a male medical professional, specializing in Oral Surgery. He graduated in 1982 from New York University College Of Dentistry.
1003 MONROE ST
ENDICOTT
NY
137605221
Tel:
| Npi | 1871663427 |
| Pac Id | 8527247311 |
| Professional Enrollment Id | I20110126000188 |
| Last Name | HOLLY |
| First Name | RANDOLPH |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | NEW YORK UNIVERSITY COLLEGE OF DENTISTRY |
| Graduation Year | 1982 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1003 MONROE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ENDICOTT |
| State | NY |
| Zip Code | 137605221 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.