Individual
JACK KLENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 COLUMBIA DR, JOHNSON CITY, NY 13790-3300
(855) 295-4144
(631) 257-5097
Mailing address
125 KENNEDY DR STE 400, HAUPPAUGE, NY 11788-4017
(855) 295-4144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-09970
KS
207W00000X
Ophthalmology Physician
Primary
04-49596
KS
207W00000X
Ophthalmology Physician
Primary
339152
NY
Other
Enumeration date
06/06/2019
Last updated
04/21/2026
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