Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 146787 | NY |
NPI | 1013942754 |
---|---|
Provider Name | Paul Kleinman |
First Address | Westbury, NY 11590-1765 |
Second Address | Bronx, NY 10462-3388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00966330 | (05) | NY |
A64023 | (02) |