Healthcare Provider Details

I. General information

NPI: 1033020664
Provider Name (Legal Business Name): JOSHUA DAVID HOLTZMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W 30TH ST RM 1001
NEW YORK NY
10001-1070
US

IV. Provider business mailing address

224 W 30TH ST RM 1001
NEW YORK NY
10001-1070
US

V. Phone/Fax

Practice location:
  • Phone: 914-432-2918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: