Kleydman Dermatology, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

254386 Issued in NY

Legal business name

KLEYDMAN DERMATOLOGY, PLLC

Practice address

2960 Ocean Ave
2ND Floor
Brooklyn, NY 11235-3202

Phone

(646) 388-0537

NPI assigned

Nov 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yekaterina Kleydman, D.O.

Title

Ceo

Phone

(646) 388-0537

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Avakyan, PA-C MS

  • Medical Physician Assistant
  • Boca Raton, FL
  • NPI 1386181667
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1467882332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 OCEAN AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353202",
            "telephone_number": "646-388-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 OCEAN AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353202",
            "telephone_number": "646-388-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEYDMAN DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "KLEYDMAN",
        "authorized_official_first_name": "YEKATERINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-388-0537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "254386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Daniel Klepp, MD
• Mary-Laura Klesaris, MD
• Tara Klestzick
• Galina Kletsman, D.O.
• Igor Kletsman, MD
• Yekaterina Kleydman, D.O.
• Igor Kleyfeld, OTR/L
• Kleyfelds OT Wellness PC
• Aleksey Kleyman, LAC
• Donna Kleyman, PT, DPT

• MOHS-Micrographic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.