Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Aviance Holly

Individual provider General Practice Registered Nurse · NPI 1457094724

Desiree Aviance Holly is a General Practice Registered Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

12 Metrotech 29 Th Fl
Brooklyn, NY 11201
Phone: (718) 422-4200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 790821 (NY)

Record details

NPI number1457094724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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