Individual
DR. IRA KLONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E SUNRISE HWY, SUITE 303, VALLEY STREAM, NY 11581-1329
(516) 568-9119
(516) 568-9485
Mailing address
210 E SUNRISE HWY, SUITE 303, VALLEY STREAM, NY 11581-1329
(516) 568-9119
(516) 568-9485
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
137566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00775159
—
NY
Enumeration date
06/09/2006
Last updated
12/11/2007
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