| Jordan Klesmer Md Pllc | |
|
1 Barstow Rd Suite P24 Great Neck NY 11021-3501 | |
| (917) 584-5043 | |
| Not Available |
| Full Name | Jordan Klesmer Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Barstow Rd, Great Neck, New York |
| Authorized Official Name and Position | Jordan Klesmer (MANAGER) |
| Authorized Official Contact | 9175845043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Klesmer Md Pllc 1 Barstow Rd Suite P24 Great Neck NY 11021-3501 Ph: (917) 584-5043 | Jordan Klesmer Md Pllc 1 Barstow Rd Suite P24 Great Neck NY 11021-3501 Ph: (917) 584-5043 |
| NPI Number | 1639353444 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 03/30/2017 |
| Medicare PECOS PAC ID | 8224113659 |
|---|---|
| Medicare Enrollment ID | O20080310000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639353444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 170536 (New York) | Primary |
| Provider Name | Jordan Klesmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407925779 PECOS PAC ID: 5698850022 Enrollment ID: I20080310000644 |
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