Organization
BEACH & SURF MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD M KLEINER D.O. (PHYSICIAN/OWNER)
(516) 431-7600
Entity
Organization
Contact information
Practice address
1011 W BEECH ST, LONG BEACH, NY 11561-1203
(516) 431-7600
(516) 431-7691
Mailing address
1011 W BEECH ST, LONG BEACH, NY 11561-1203
(516) 431-7600
(516) 431-7691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02136565
—
NY
Enumeration date
10/04/2006
Last updated
02/05/2015
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