PETER A KLEIN, MD, FAAD, PC
Dermatology at Medical Dr, Prt Jefferson Station, NY

License number
New York 214206
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. PETER A KLEIN MD
Title: PHYSICIAN OWNER
Phone: (631) 928-7922
Address
Address
6 Medical Dr SUITE D, Prt Jefferson Station, NY 11776
National Provider ID: 1902837396
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER A. KLEIN, M.D., F.A.A.D., PC

6 Medical Dr SUITE D, Port Jefferson Station, NY 11776

Industry:
Medical Doctor's Office Osteopathic Physician's Office
Doing business as:
Peter A Klein, M D , F A
Registration:
Jan 21, 2003
State ID:
2859297
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Office Managers:
Peter A Klein (Dermatology, Medical Doctor, Principal), 6 Medical Dr SUITE D, Port Jefferson Station, NY 11776 (Physical),Adam Joseph Korzenko (Medical Doctor),Jennifer I. Tocci Office Manager, inactive

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