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Organization
MITCHELL A. KLINE MD PC
Active
Organization
MITCHELL A. KLINE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL A KLINE M.D.,P.C. (DERMATOLOGISTS PROVIDER)
(212) 517-6555
Entity
Organization
Contact information
Practice address
700 PARK AVE, NEW YORK, NY 10021-4930
(212) 517-6555
(212) 476-6796
Mailing address
700 PARK AVE, NEW YORK, NY 10021-4930
(212) 517-6555
(212) 476-6796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
169608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004262282
AETNA PROVIDER NUMBER
NY
01
—
22099
HORIZON PROVIDER NUMBER
NJ
01
—
3K6711
BLUECROSS PROVIDER NUMBER
NY
01
—
9681544
GHI
NY
01
—
NS651
OXFORD
NY
01
—
NY5967
HEALTHNET PROVIDER NUMBER
NY
Enumeration date
12/04/2006
Last updated
11/04/2010
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