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Contact Information

MICHAEL W KLEEMAN, DO
250 PATCHOGUE YAPHANK RD
SUITE 11 B
EAST PATCHOGUE, NY11772-4800
 Phone: 631-475-5051
 Fax: 631-475-8268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MICHAEL W KLEEMAN · (Male)

NPI # 1063445138
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/09/2006
Last updated 01/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 240507
  • NY Medicaid 02797813
  • NY Other 7982701 AETNA
  • NY Other 2356468 CIGNA
  • NY Other 4S6531 EMPIRE BCBS
  • NY Other 0126239 GHI
  • NY Other 336380P HIP
  • NY Other P3716058 OXFORD
  • NY Other P00345437 RAILROAD MEDICARE
  • NY Other 2573801 UNITED HEALTHCARE
  • NY Other 336381 VYTRA
  • NY Other 336400 VYTRA
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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