Individual
DR. ALAN MICHAEL DE KLERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB, FAAP
Contact information
Practice address
7 CORNELIA ST APT 3D, NEW YORK, NY 10014-4165
(321) 609-1723
Mailing address
7 CORNELIA ST APT 3D, NEW YORK, NY 10014-4165
(321) 609-1723
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
212205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01892800
—
NY
05
—
019304000
—
FL
Enumeration date
07/28/2005
Last updated
04/16/2020
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