| Beach & Surf Medical, Pc | |
|
1011 W Beech St Long Beach NY 11561-1203 | |
| (516) 431-7600 | |
| (516) 431-7691 |
| Full Name | Beach & Surf Medical, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1011 W Beech St, Long Beach, New York |
| Authorized Official Name and Position | Edward M Kleiner (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5164317600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach & Surf Medical, Pc 1011 W Beech St Long Beach NY 11561-1203 Ph: (516) 431-7600 | Beach & Surf Medical, Pc 1011 W Beech St Long Beach NY 11561-1203 Ph: (516) 431-7600 |
| NPI Number | 1821183823 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821183823 | NPI | - | NPPES |
| 02136565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 211117 (New York) | Primary |
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