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Individual
JEFFREY SCOTT KLIRSFELD
Active
Individual
JEFFREY SCOTT KLIRSFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113027608
TAX ID
NY
01
—
332B00000
DME SUPPLIER TAXONOMY COD
NY
Enumeration date
10/20/2005
Last updated
08/16/2010
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