Michael Gerald Holland
Emergency Physician Internist - Addiction Medicine
102 Park St The Wound Healing Center
Glens Falls
, New York 12801-4403
Michael Gerald Holland
Emergency Physician Internist - Addiction Medicine
102 Park St The Wound Healing Center
Glens Falls
, New York 12801-4403
(518) 926-1505
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About
Features
Specialties
- Emergency Physician
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Michael Gerald Holland
- Po Box 304
- Glens Falls, NY
- Zip : 12801
- Fax : (518) 926-1505
- Phone : (518) 926-1500
Second Address
- Michael Gerald Holland
- 102 Park St The Wound Healing Center
- Glens Falls, NY
- Zip : 12801-4403
- Fax : (518) 926-1505
- Phone : (518) 926-1500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 176961 | NY |
| N | 207RA0401X | Internist - Addiction Medicine | 176961 | NY |
National Provider Identifier
| NPI | 1376513143 |
|---|---|
| Provider Name | Michael Gerald Holland |
| First Address | Glens Falls, NY 12801 |
| Second Address | Glens Falls, NY 12801-4403 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 05/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01140812 | (05) | NY |
| D75919 | (02) | |
| P00474069 | RR MEDICARE (01) | NY |
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.