MEDICARE: DR. ANATOLE KENNETH KLEINER M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	234607	NY
2	207RR0500X	Rheumatology Physician	234607	NY
3	207K00000X	Allergy & Immunology Physician	234607	NY

General Provider Information

NPI Number	:	1144326133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANATOLE KENNETH KLEINER M.D

Provider Business Mailing Address
First Line	:	400 RED CREEK DR STE 240
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-4281
Country	:	US
Telephone Number	:	585-486-0901
Fax Number	:	585-340-5399

Provider Business Practice Location Address
First Line	:	400 RED CREEK DR STE 240
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-4281
Country	:	US
Telephone Number	:	585-486-0901
Fax Number	:	585-340-5399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/05/2023

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Directions to “ DR. ANATOLE KENNETH KLEINER M.D” Practice Location

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