Individual
MICHAEL W KLEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 PATCHOGUE YAPHANK RD, SUITE 11 B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051
(631) 475-8268
Mailing address
250 PATCHOGUE YAPHANK RD, SUITE 11 B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051
(631) 475-8268
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
240507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126239
GHI
NY
05
—
02797813
—
NY
01
—
2356468
CIGNA
NY
01
—
2573801
UNITED HEALTHCARE
NY
01
—
336380P
HIP
NY
01
—
336381
VYTRA
NY
01
—
336400
VYTRA
NY
01
—
4S6531
EMPIRE BCBS
NY
01
—
7982701
AETNA
NY
01
—
P00345437
RAILROAD MEDICARE
NY
01
—
P3716058
OXFORD
NY
Enumeration date
07/09/2006
Last updated
01/06/2011
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