Leif Odd Holgersen
Pediatric Surgery
141 S Central Ave
Hartsdale
, New York 10530-2319
Leif Odd Holgersen
Pediatric Surgery
141 S Central Ave
Hartsdale
, New York 10530-2319
(914) 380-6713
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Leif Odd Holgersen
- Po Box 667
- Purchase, NY
- Zip : 10577-0667
- Fax : (914) 380-6713
- Phone : (914) 337-2455
Second Address
- Leif Odd Holgersen
- 141 S Central Ave
- Hartsdale, NY
- Zip : 10530-2319
- Fax : (914) 380-6713
- Phone : (914) 337-2455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 097983 | NY |
National Provider Identifier
| NPI | 1083661250 |
|---|---|
| Provider Name | Leif Odd Holgersen |
| First Address | Purchase, NY 10577-0667 |
| Second Address | Hartsdale, NY 10530-2319 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00166087 | (05) | NY |
| A63610 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.