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Organization
UPPER EAST SIDE MEDICAL PC
Active
Organization
UPPER EAST SIDE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR KLETSMAN M.D. (PRESIDENT)
(917) 974-3001
Entity
Organization
Contact information
Practice address
105 OCEANA DR E, 5I, BROOKLYN, NY 11235-6681
(917) 974-3001
Mailing address
105 OCEANA DR E, 5I, BROOKLYN, NY 11235-6681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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