Kleiner, Myron I
Kleiner, Myron I is an sole proprietor health care provider with primary practice located at 180 E Main St , Bay Shore NY 11706-8427. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kleiner, Myron I can be contacted via phone (631) 665-4466.Contact Information
Primary practice address
180 E Main St
Bay Shore NY 11706-8427
Phone: (631) 665-4466
Fax: (631) 665-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 142909 | New York |
Profile Details
| NPI number | 1760468854 |
|---|---|
| LBN Legal business name | Kleiner, Myron I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jul 30th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760468854 | NPPES |
| New York | MEDICAID | 00758452 |
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