MEDICARE: RICHARD HOLMES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	226885	NY

General Provider Information

NPI Number	:	1225121452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD HOLMES MD

Provider Business Mailing Address
First Line	:	55 WATER ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10041-0010
Country	:	US
Telephone Number	:	646-680-2888
Fax Number	:	516-542-5556

Provider Business Practice Location Address
First Line	:	101 PENNSYLVANIA AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2428
Country	:	US
Telephone Number	:	718-240-2000
Fax Number	:	718-240-2260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/09/2025

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