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Individual
DEBORAH LEADHOLM KRISS
Active
Individual
DEBORAH LEADHOLM KRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
60-139707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000472214006
BSNENY
NY
01
—
010ZM1
EMPIRE BLUECROSS
NY
01
—
090406000031
FIDELIS
—
01
—
10022210
CDPHP
NY
01
—
137306
GHI/HMO
NY
01
—
3007738
MVP HEALTHCARE
NY
01
—
5331692
AETNA
NY
Enumeration date
07/11/2006
Last updated
07/08/2009
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