Healthcare Provider Details

I. General information

NPI: 1114007689
Provider Name (Legal Business Name): DANIEL HOLLAND, DC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 MCCORMICK DR
BOHEMIA NY
11716-2998
US

IV. Provider business mailing address

190 MCCORMICK DR
BOHEMIA NY
11716-2998
US

V. Phone/Fax

Practice location:
  • Phone: 516-650-5117
  • Fax:
Mailing address:
  • Phone: 516-650-5117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number011216-1
License Number StateNY

VIII. Authorized Official

Name: DR. DANIEL JAMES HOLLAND
Title or Position: OWNER/MANAGER
Credential: D.C.
Phone: 516-650-5117