# SOUTH BEACH P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316498553
- **Authorized official:** DR. ALFRED KLEINBAUM (TEAM LEADER)
- **Authorized official phone:** (718) 256-8818

## Contact information

- **Practice address:** 8620 18TH AVE, BROOKLYN, NY 11214-3702
- **Practice address phone:** (718) 256-8818
- **Practice address fax:** (718) 234-2314
- **Mailing address:** 8620 18TH AVE, BROOKLYN, NY 11214-3702
- **Mailing address phone:** (718) 256-8818
- **Mailing address fax:** (718) 234-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 10/24/2016