Provider Demographics
NPI:1972035673
Name:SANOIAN, HOLLY
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:SANOIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:GARONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:89 WOODLOT RD
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:89 WOODLOT RD
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:NY
Practice Address - Zip Code:11961-1908
Practice Address - Country:US
Practice Address - Phone:631-294-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009941-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor