Individual
HEIDI KLINGBEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 FORT WASHINGTON AVE, SUITE 199, NEW YORK, NY 10032-3735
(212) 305-4593
(212) 342-6852
Mailing address
630 WEST 168TH STREET, #38, NEW YORK, NY 10032
(212) 305-4593
(212) 342-6852
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MA07919400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072371
—
NJ
05
—
02909699
—
NY
Enumeration date
10/11/2005
Last updated
08/01/2008
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