Organization
ISLAND OF HEALTH MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILYA KLEYN MD (OWNER)
(212) 686-6700
Entity
Organization
Contact information
Practice address
114 32 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694
(718) 318-0090
Mailing address
114 32 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694
(718) 318-0090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228891
NY
207R00000X
Internal Medicine Physician
207201
NY
207RC0000X
Cardiovascular Disease Physician
242000
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
215006
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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