Mark Jacob Kleinman in Staten Island - Clinical
Mark Jacob Kleinman - NPI 1164445771
Mark Jacob Kleinman is a Clinical in Staten Island, New York. Mark Jacob Kleinman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Jacob Kleinman is 1164445771. The last update date is 2007-07-08.
Mark Jacob Kleinman's current location address is 144 Nehring Ave, Staten Island, New York. You can contact this provider via phone number 9175957520. The mailing address for Mark Jacob Kleinman is 144 Nehring Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jacob Kleinman |
|---|---|
| Address | 144 Nehring Ave, Staten Island, New York |
| Phone Number | 9175957520 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164445771 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 144 Nehring Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103146120 |
| Phone Number | 9175957520 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 10039 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2400397 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Jacob Kleinman by the Centers for Medicare & Medicaid Services?
The Mark Jacob Kleinman has been issued the NPI (National Provider Identifier) 1164445771 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Jacob Kleinman's facilities are situated?
The facilities of Mark Jacob Kleinman are physically located at the following address: 144 Nehring Ave, Staten Island, NY, 103146120.
What is Mark Jacob Kleinman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Jacob Kleinman is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Mark Jacob Kleinman receive its 1164445771 assignment?
The Mark Jacob Kleinman was assigned its 1164445771 on 2006-07-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mark Jacob Kleinman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Jacob Kleinman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.