Holgersen, Leif Odd

Holgersen, Leif Odd is an sole proprietor health care provider with primary practice located at 141 S Central Ave , Hartsdale NY 10530-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Holgersen, Leif Odd can be contacted via phone (914) 337-2455.

Contact Information

Primary practice address
141 S Central Ave Hartsdale NY 10530-2319
Phone: (914) 337-2455
Fax: (914) 380-6713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 097983 New York

Profile Details

NPI number 1083661250
LBN Legal business name Holgersen, Leif Odd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083661250 NPPES
New York MEDICAID 00166087

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