Kriss, Deborah Leadholm

Kriss, Deborah Leadholm is an individual health care provider with primary practice located at 553 Clinton Ave Koinonia Health Care, Albany NY 12206-2738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Kriss, Deborah Leadholm can be contacted via phone (518) 689-0282.

Contact Information

Primary practice address
553 Clinton Ave Koinonia Health Care Albany NY 12206-2738
Phone: (518) 689-0282
Fax: (518) 689-0283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 60-139707 New York

Profile Details

NPI number 1508891243
LBN Legal business name Kriss, Deborah Leadholm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2009 - about 15 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 1508891243 NPPES
New York Other 000472214006 BSNENY
New York Other 5331692 BSNENY
New York Other 10022210 BSNENY
New York Other 010ZM1 BSNENY
New York Other 3007738 BSNENY
New York Other 090406000031 BSNENY
New York Other 137306 BSNENY

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