Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 240507 | NY |
NPI | 1063445138 |
---|---|
Provider Name | Michael W Kleeman |
First Address | East Patchogue, NY 11772-4800 |
Second Address | East Patchogue, NY 11772-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 06/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0126239 | GHI (01) | NY |
02797813 | (05) | NY |
2356468 | CIGNA (01) | NY |
2573801 | UNITED HEALTHCARE (01) | NY |
336380P | HIP (01) | NY |
336381 | VYTRA (01) | NY |
336400 | VYTRA (01) | NY |
4S6531 | EMPIRE BCBS (01) | NY |
7982701 | AETNA (01) | NY |
I41723 | (02) | NY |
P00345437 | RAILROAD MEDICARE (01) | NY |
P3716058 | OXFORD (01) | NY |