Provider Demographics
NPI:1457451379
Name:COHEN, BERGMAN & KLEPPER M.D.'S P.C.
Entity Type:Organization
Organization Name:COHEN, BERGMAN & KLEPPER M.D.'S P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:I
Authorized Official - Last Name:KLEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-549-5700
Mailing Address - Street 1:175 E MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2939
Mailing Address - Country:US
Mailing Address - Phone:631-549-5700
Mailing Address - Fax:631-549-1991
Practice Address - Street 1:175 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2939
Practice Address - Country:US
Practice Address - Phone:631-549-5700
Practice Address - Fax:631-549-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CM0186Medicare PIN
NYW0Z691Medicare PIN