Provider Demographics
NPI:1487834776
Name:KLEINMAN, LAWRENCE CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:CHARLES
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GUSTAV LEVY PLACE
Mailing Address - Street 2:BOX 1077
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-659-9556
Mailing Address - Fax:212-423-2998
Practice Address - Street 1:1 GUSTAV LEVY PLACE
Practice Address - Street 2:BOX 1077
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-659-9556
Practice Address - Fax:212-423-2998
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244746208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics