Provider Demographics
NPI:1487626651
Name:OLHOFFER, INGRID H (MD)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:H
Last Name:OLHOFFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:60 DUTCH HILL RD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-1723
Mailing Address - Country:US
Mailing Address - Phone:845-359-4770
Mailing Address - Fax:845-359-0017
Practice Address - Street 1:60 DUTCH HILL RD
Practice Address - Street 2:SUITE 18
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1723
Practice Address - Country:US
Practice Address - Phone:845-359-4770
Practice Address - Fax:845-359-0017
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220134207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000054510OtherGHI HMO
1959464OtherUNITED HEALTHCARE
7979017OtherAETNA
P2395976OtherOXFORD
2299743OtherGHI
NY02087158Medicaid
070016464OtherRAILROAD MEDICARE
0D2018OtherHEALTHNET
2K3551OtherEMPIRE BLUECROSS BLUESHIELD
198888OtherWELLCARE
17271OtherHUDSON HEALTHPLANS
8506912OtherCIGNA
000000054510OtherGHI HMO
1959464OtherUNITED HEALTHCARE