Provider Demographics
NPI:1538239207
Name:FOIGELMAN HOLLAND, DOROTHY E (PT DPT)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:E
Last Name:FOIGELMAN HOLLAND
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217
Mailing Address - Country:US
Mailing Address - Phone:716-873-9154
Mailing Address - Fax:716-875-3796
Practice Address - Street 1:2438 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217
Practice Address - Country:US
Practice Address - Phone:716-873-9154
Practice Address - Fax:716-875-3796
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0068111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4604970OtherAETNA
9390049OtherINDEPENDENT HEALTH
P00140906OtherMEDICARE RAILROAD
806688OtherEMPIRE
000600585002OtherBLUE CROSS
649833OtherUNITED HEALTHCARE
4604970OtherAETNA
000600585002OtherBLUE CROSS