Individual
JERRY I KLEINBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 MAHOPAC AVE ROUTE 6, CARE MOUNT MEDICAL, PC, YORKTOWN HEIGHTS, NY 10598
(914) 248-5556
(914) 248-4091
Mailing address
110 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
136935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00559980
—
NY
Enumeration date
08/19/2006
Last updated
11/15/2016
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