Provider Demographics
NPI:1730204595
Name:KLAYMAN, DAVID M (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:KLAYMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PELHAM AVE
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3430
Mailing Address - Country:US
Mailing Address - Phone:845-353-2001
Mailing Address - Fax:845-358-6960
Practice Address - Street 1:580 ROUTE 303
Practice Address - Street 2:
Practice Address - City:BLAUVELT
Practice Address - State:NY
Practice Address - Zip Code:10913-1105
Practice Address - Country:US
Practice Address - Phone:845-353-2001
Practice Address - Fax:845-680-6139
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008738-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1803680OtherUNITED PROVIDER ID NUMBER
NYC08738-9BOtherWORKERS COMPENSATION ID #
NY0023565-001OtherCIGNA PROVIDER ID NUMBER
NY01819612Medicaid
NYX99421Medicare ID - Type UnspecifiedPROVIDER ID NUMBER