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Individual

DR. THOMAS KLIE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4422 3RD AVE, CARE OF ER DEPARTMENT, BRONX, NY 10457-2545
(718) 960-6103
Mailing address
4422 3RD AVE, CARE OF ER DEPARTMENT, BRONX, NY 10457-2545
(718) 960-6103

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
193798
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01676508
NY
Enumeration date
05/20/2006
Last updated
07/08/2007
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