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

Mrs. Holly Detore

Individual provider Specialist · NPI 1992577290

Mrs. Holly Detore is a Specialist in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

624 Hawkins Ave
Ronkonkoma, NY 11779-2375
Phone: (631) 240-3579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1992577290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

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