Organization
NYS OMH SOUTH BEACH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED KLEINBAUM (TEAM LEADER)
(718) 256-8818
Entity
Organization
Contact information
Practice address
8620 18TH AVE, BROOKLYN, BROOKLYN, NY 11214-3702
(718) 256-8818
(718) 234-2314
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2300
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00769306
—
NY
Enumeration date
03/02/2016
Last updated
03/03/2016
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