Organization
BAY SHORE FAMILY MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E KLEIN M.D. (PRESIDENT)
(631) 665-8515
Entity
Organization
Contact information
Practice address
19 EAST MAIN ST, SUITE 8, BAY SHORE, NY 11706
(631) 665-0760
(631) 665-1886
Mailing address
19 EAST MAIN ST, SUITE 8, BAY SHORE, NY 11706
(631) 665-0760
(631) 665-1886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
162359
NY
207Q00000X
Family Medicine Physician
Primary
221368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012303
GHI
NY
01
—
1172
VYTRA
NY
01
—
15E111
B/CB/S
NY
01
—
162359-A30
AHEALTH FIRST
NY
01
—
2C7645
HEALTHNET
NY
01
—
332368-A30
HEALTH FIRST
NY
01
—
3504180
CIGNA
NY
01
—
4C8783
HEALTHNET
NY
01
—
5997110
GHI
NY
01
—
6009146
CIGNA
NY
01
—
8C9721
B/CB/S
NY
01
—
CP461
OXFORD
NY
01
—
P2695103
OXFORD
NY
Enumeration date
10/03/2006
Last updated
02/27/2009
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