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NPI Code Detail

MEDICARE: DR. BENJAMIN LAWRENCE KLIOT M.D.

MEDICARE: DR. BENJAMIN LAWRENCE KLIOT 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
1207P00000XEmergency Medicine PhysicianME 108673FL
2207P00000XEmergency Medicine PhysicianMD2017-0905NM
3207P00000XEmergency Medicine Physician25MA07677100NJ
4207P00000XEmergency Medicine Physician224076NY
5207P00000XEmergency Medicine Physician57148CT

General Provider Information

NPI Number : 1093813255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN LAWRENCE KLIOT M.D.
Provider Business Mailing Address
First Line : 365 BOND ST APT A219
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-5136
Country : US
Telephone Number : 917-747-3054
Fax Number :
Provider Business Practice Location Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6077
Country : US
Telephone Number : 203-739-7447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/28/2022

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