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NPI Code Detail

MEDICARE: DR. KEITH F HOLDER MD

MEDICARE: DR. KEITH F HOLDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine Physician284114NY
22083X0100XOccupational Medicine PhysicianC-6425AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467471797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH F HOLDER MD
Provider Business Mailing Address
First Line : 800 RED MILLS RD
Second Line :
City : WALLKILL
State : NY
Zip : 12589-3220
Country : US
Telephone Number : 845-744-9105
Fax Number :
Provider Business Practice Location Address
First Line : 800 RED MILLS RD
Second Line :
City : WALLKILL
State : NY
Zip : 12589-3220
Country : US
Telephone Number : 845-744-9105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 03/06/2023

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