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LEIF ODD HOLGERSEN M.D. NPI 1083661250


NPI Information

NPI: 1083661250
Provider Name: LEIF ODD HOLGERSEN, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
141 S CENTRAL AVE
HARTSDALE, NY
ZIP 10530
Phone: (914) 337-2455
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Leif Odd Holgersen, M.D. is a pediatric surgery surgery in Hartsdale, NY. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Leif Odd Holgersen, M.D. NPI is 1083661250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

141 S CENTRAL AVE
HARTSDALE, NY
ZIP 10530-319
Phone: (914) 337-2455
Fax: (914) 380-6713

The enumeration date for this NPI number is 5/31/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric Surgery097983NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1644511MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
200166087MEDICAIDNEW YORK
3A63610MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.