Kleinberg, Mitchell

Kleinberg, Mitchell is an sole proprietor health care provider with primary practice located at 270 Union Ave , Holbrook NY 11741-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kleinberg, Mitchell can be contacted via phone (631) 558-4442.

Contact Information

Primary practice address
270 Union Ave Holbrook NY 11741-1823
Fax: (631) 471-3039
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 154133 New York

Profile Details

NPI number 1447367537
LBN Legal business name Kleinberg, Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Apr 10th, 2012 - about 12 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 1447367537 NPPES
New York MEDICAID 00765857

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