Provider Demographics
NPI:1427077429
Name:LINDMAN, HARRY D JR (DO)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:D
Last Name:LINDMAN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CARE LN STE 100
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8636
Mailing Address - Country:US
Mailing Address - Phone:518-290-1195
Mailing Address - Fax:518-480-2195
Practice Address - Street 1:3 CARE LN STE 100
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8636
Practice Address - Country:US
Practice Address - Phone:518-290-1195
Practice Address - Fax:518-480-2195
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206928207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000401556001OtherBSNENY
NY01889252Medicaid
NY10023723OtherCDPHP
NY08335OtherMVP
NY47344OtherGHI/HMO
NY070216000058OtherFIDELIS
NY201083OtherSENIOR WHOLE HEALTH
NY5127005OtherAETNA
NY692151OtherEMPIRE BC
NY5127005OtherAETNA
NY01889252Medicaid