Individual
DR. JOHN ERASMUS KLIBANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 NELSON ST, STE 120, AUBURN, NY 13021-1941
(315) 252-7559
(315) 253-8104
Mailing address
17 LANGSING ST, AUBURN, NY 13021-1983
(315) 255-7011
(315) 255-7099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
198309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01565719
—
NY
01
—
200026915
RR MEDICARE
NY
Enumeration date
03/28/2006
Last updated
04/03/2024
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