DEBORAH LEADHOLM KRISS (NPI# 1508891243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508891243 |
| Entity Type | Individual |
| Full Name | DEBORAH LEADHOLM KRISS |
| Credential | M.D. |
| Practice Address |
553 Clinton Ave Koinonia Health Care Albany NY 12206-2738 |
| Mailing Address |
553 Clinton Ave Koinonia Health Care Albany NY 12206 |
| Practice Telephone | 5186890282 |
| Practice Fax Number | 5186890283 |
| Mailing Telephone | 5186890282 |
| Mailing Fax Number | 5186890283 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
60-139707 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BSNENY | 000472214006 | 01 |
| NY | EMPIRE BLUECROSS | 010ZM1 | 01 |
| NY | GHI/HMO | 137306 | 01 |
| NY | AETNA | 5331692 | 01 |
| FIDELIS | 090406000031 | 01 | |
| NY | CDPHP | 10022210 | 01 |
| NY | MVP HEALTHCARE | 3007738 | 01 |
| Street Address |
553 CLINTON AVE KOINONIA HEALTH CARE |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738040 | Elaine Ho | Nurse Practitioner | 553 Clinton Ave, Albany, NY 12206-2738 | 2020-07-27 |
| 1912550658 | Rachel Lynn Siffring | Family Medicine | 553 Clinton Ave, Albany, NY 12206-2738 | 2019-07-22 |
| 1750634242 | Cathleen Whitmore Svenson | Nurse Practitioner | 553 Clinton Ave, Albany, NY 12206-2738 | 2012-10-21 |
| 1578834081 | Resurrection Ministries | Clinic/Center | 553 Clinton Ave, Albany, NY 12206-2738 | 2012-01-16 |
| 1023389533 | Koinonia Primary Care Inc | Clinic/Center | 553 Clinton Ave, Albany, NY 12206-2738 | 2012-01-16 |
| 1316133689 | Susan M Austin Md Pllc | Psychiatry & Neurology | 553 Clinton Ave, Albany, NY 12206-2738 | 2007-09-20 |
| 1366568123 | Susan K Richter | Psychiatry & Neurology | 553 Clinton Ave, Albany, NY 12206-2738 | 2007-03-22 |
| 1568576379 | Robert John Paeglow | Family Medicine | 553 Clinton Ave, Albany, NY 12206-2738 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770870040 | Aleeya Healey | Pediatrics | 391 Myrtle Ave Ste 3b, Albany, NY 12208-3835 | 2011-07-07 |
| 1881762599 | Josephine Lindt | Pediatrics | 1402 Solano Ave, Albany, CA 94706-2124 | 2006-12-01 |
| 1457344012 | Judith Anne Lucas | Pediatrics | 391 Myrtle Ave, Suite 3b, Albany, NY 12208 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746403 | Four Boroughs Aba | Pediatrics | 1344 E 24th St, Brooklyn, NY 11210-5143 | 2020-10-02 |
| 1447881735 | Jihee Chae | Pediatrics | 60 Wishing Ln, Hicksville, NY 11801-6423 | 2020-01-27 |
| 1235693730 | Sally Joanne Marotta Reed | Pediatrics | 5292 Cambria Rd, Sanborn, NY 14132-9412 | 2019-01-29 |
| 1063982817 | Jessica Elizabeth Sapio | Pediatrics | 125 Currier Ave, Sloan, NY 14212-2222 | 2018-12-04 |
| 1093293037 | Apf Therapeutic Services Inc | Pediatrics | 918 E 218th St Fl 1, Bronx, NY 10469-1006 | 2018-08-01 |
| 1679003552 | Lauren Jennifer Elchonen | Pediatrics | 18 N Cheryl St, Spring Valley, NY 10977-6510 | 2017-06-14 |
| 1295107183 | Spandana Nallapati | Pediatrics | 1510 Lexington Ave Apt 4n, New York, NY 10029-7154 | 2015-10-30 |
| 1275802811 | Icahn School of Medicine At Mount Sinai | Pediatrics | 500 7th Ave Fl 8, New York, NY 10018-4502 | 2011-12-28 |
| 1205045309 | Bharati R Shah | Pediatrics | 9 Wilbur Rd, Hudson Valley Ddso, Thiells, NY 10984-0470 | 2007-05-22 |
| 1497964589 | Rohitkumar K Shah | Pediatrics | 9 Wilbur Road, Hudson Valley Ddso, Thiells, NY 10984-0470 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.