MEDICARE: DR. ROBERT BARRY KLEINBERG DC

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	111N00000X	Chiropractor	X3225	NY
2	111N00000X	Chiropractor	MC04281	NJ
3	133N00000X	Nutritionist	3945-1	NY

General Provider Information

NPI Number	:	1528100351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BARRY KLEINBERG DC

Provider Business Mailing Address
First Line	:	2050 BATH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4904
Country	:	US
Telephone Number	:	718-996-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 BATH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4904
Country	:	US
Telephone Number	:	718-996-3200
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	11/12/2015

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