Kleinbaum, Jerry I

Kleinbaum, Jerry I is an individual health care provider with primary practice located at 48 Mahopac Ave Route 6 Care Mount Medical, Pc, Yorktown Heights NY 10598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Kleinbaum, Jerry I can be contacted via phone (914) 248-5556.

Contact Information

Primary practice address
48 Mahopac Ave Route 6 Care Mount Medical, Pc Yorktown Heights NY 10598
Phone: (914) 248-5556
Fax: (914) 248-4091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 136935 New York

Profile Details

NPI number 1245344670
LBN Legal business name Kleinbaum, Jerry I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245344670 NPPES
New York MEDICAID 00559980

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