Provider Demographics
NPI:1457109522
Name:KLOPMAN LLC
Entity type:Organization
Organization Name:KLOPMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DERK
Authorized Official - Middle Name:JAN
Authorized Official - Last Name:KLOMPSMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-558-0966
Mailing Address - Street 1:1024 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3740
Mailing Address - Country:US
Mailing Address - Phone:973-558-0966
Mailing Address - Fax:
Practice Address - Street 1:1024 E 27TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3740
Practice Address - Country:US
Practice Address - Phone:973-558-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health