Individual
DR. JAKE ALEXANDER KLEINMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MARCUS AVE STE M15, NEW HYDE PARK, NY 11042-1034
(516) 601-7200
Mailing address
9 CANTERBURY LN, ROSLYN HEIGHTS, NY 11577-1401
(914) 420-4678
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
325391
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2011
Last updated
01/20/2025
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