# BEACH & SURF MEDICAL, PC

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

## Provider details

- **NPI number:** 1821183823
- **Authorized official:** EDWARD M KLEINER D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (516) 431-7600

## Contact information

- **Practice address:** 1011 W BEECH ST, LONG BEACH, NY 11561-1203
- **Practice address phone:** (516) 431-7600
- **Practice address fax:** (516) 431-7691
- **Mailing address:** 1011 W BEECH ST, LONG BEACH, NY 11561-1203
- **Mailing address phone:** (516) 431-7600
- **Mailing address fax:** (516) 431-7691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 211117 | NY | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 02/05/2015