MEDICARE: DR. ALEXIS ANNE HOLROYDE VMD

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	174M00000X	Veterinarian	011549	NY

General Provider Information

NPI Number	:	1831439371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS ANNE HOLROYDE VMD

Provider Business Mailing Address
First Line	:	5 LISPENARD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-3099
Country	:	US
Telephone Number	:	212-925-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 LISPENARD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-3099
Country	:	US
Telephone Number	:	212-925-6100
Fax Number	:

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

Provider Enumeration Date	:	02/20/2013
Last Update Date	:	02/20/2013

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