Organization
IVAN KLAYMAN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN KLAYMAN OD (PRESIDENT)
(631) 586-5055
Entity
Organization
Contact information
Practice address
1146 DEER PARK AVE, NORTH BABYLON, NY 11703-3102
(631) 586-5055
(631) 274-3683
Mailing address
1146 DEER PARK AVE, NORTH BABYLON, NY 11703-3102
(631) 586-5055
(631) 274-3683
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV2786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08271
MEDICARE PECAN
NY
Enumeration date
11/10/2010
Last updated
11/10/2010
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