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Individual

MARK BERNARD KLAPHOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
444 LAKEVILLE ROAD, SUITE 101, NEW HYDE PARK, NY 11042-1165
(516) 354-7660
(516) 354-7671
Mailing address
444 LAKEVILLE ROAD, SUITE 101, NEW HYDE PARK, NY 11042-1165
(516) 354-7660
(516) 354-7671

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
143452
NY
207RG0100X
Gastroenterology Physician
Primary
143452
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0087865
GHI
NY
01
AP016
OXFORD
NY
Enumeration date
10/03/2006
Last updated
11/09/2010
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