Provider Demographics
NPI:1205844784
Name:HOLMBERG, ARTHUR III (MD, CMD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:HOLMBERG
Suffix:III
Gender:M
Credentials:MD, CMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3327
Mailing Address - Country:US
Mailing Address - Phone:203-803-9038
Mailing Address - Fax:914-709-4858
Practice Address - Street 1:120 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1209
Practice Address - Country:US
Practice Address - Phone:203-803-9038
Practice Address - Fax:914-709-4858
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1854241207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01579262Medicaid
NYA400096768Medicare PIN
F48741Medicare UPIN