Provider Demographics
NPI:1518091123
Name:KLEYMAN, ALEKSEY (LAC)
Entity Type:Individual
Prefix:
First Name:ALEKSEY
Middle Name:
Last Name:KLEYMAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3516
Mailing Address - Country:US
Mailing Address - Phone:917-751-3922
Mailing Address - Fax:
Practice Address - Street 1:3039 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8370
Practice Address - Country:US
Practice Address - Phone:718-946-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY493008163W00000X
NJ26NR09373600163W00000X
NY001624171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered171100000XOther Service ProvidersAcupuncturist