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Individual

MRS. ELAINE KLETSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
52B LAFAYETTE AVE, CLIFFSIDE PARK, NJ 07010-3104
(201) 945-9138
Mailing address
52B LAFAYETTE AVE, CLIFFSIDE PARK, NJ 07010-3104
(201) 945-9138

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007995
NY

Other

Enumeration date
07/24/2009
Last updated
07/24/2009
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