Klonsky, Ira

Klonsky, Ira is an individual health care provider with primary practice located at 210 E Sunrise Hwy Suite 303, Valley Stream NY 11581-1329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Klonsky, Ira can be contacted via phone (516) 568-9119.

Contact Information

Primary practice address
210 E Sunrise Hwy Suite 303 Valley Stream NY 11581-1329
Phone: (516) 568-9119
Fax: (516) 568-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 137566 New York

Profile Details

NPI number 1174564264
LBN Legal business name Klonsky, Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174564264 NPPES
New York MEDICAID 00775159

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