Organization
SUMMIT THORACIC INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MICHAEL KLINE MD (PRESIDENT)
(516) 233-1952
Entity
Organization
Contact information
Practice address
410 LAKEVILLE RD, SUITE 310, NEW HYDE PARK, NY 11042-1101
(516) 233-1952
(516) 233-1954
Mailing address
410 LAKEVILLE RD, SUITE 310, NEW HYDE PARK, NY 11042-1101
(516) 233-1952
(516) 233-1954
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
200213
NY
Other
Enumeration date
11/15/2007
Last updated
11/30/2007
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