Mark R Klocke is a Pediatrics in Amherst, New York. Mark R Klocke practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark R Klocke is 1104816065. The last update date is 2014-07-21.
Mark R Klocke's current location address is 6000 N Bailey Ave, Amherst, New York. You can contact this provider via phone number 7168344522 and fax number 7168346191. The mailing address for Mark R Klocke is 6000 N Bailey Ave, Amherst, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Klocke |
|---|---|
| Address | 6000 N Bailey Ave, Amherst, New York |
| Phone Number | 7168344522 |
| Fax Number | 7168346191 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104816065 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2014-07-21 |
Provider Mailing Address Detail
| Address | 6000 N Bailey Ave |
|---|---|
| City | Amherst |
| State | New York (NY) |
| Post Code | 142265102 |
| Phone Number | 7168344522 |
| Fax Number | 7168346191 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 182253 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40426001490 | NY | FIDELIS | |
| 10092105 | NY | UNIVERA | |
| 1245578 | NY | -- | |
| 511134005 | NY | BC/BS | |
| 1208952 | NY | IHA | |
| 143849DL | NY | PREFERRED CARE |
Post Comment/ Review Below
What is the Mark R Klocke's unique identification number?
The Mark R Klocke has been assigned the NPI (National Provider Identifier) Number 1104816065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mark R Klocke located?
The Mark R Klocke is located at 6000 N Bailey Ave, Amherst, NY 142265102.
What is Mark R Klocke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark R Klocke is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did Mark R Klocke receive its 1104816065 assignment?
The Mark R Klocke was assigned its 1104816065 on 2005-10-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Mark R Klocke last refreshed?
The information related to the Mark R Klocke, including its address, specialty, and other relevant details, was last updated on 2014-07-21.