MEDICARE: DRS KLEIN & RUBINSTEIN DENTISTS

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	122300000X	Dentist	047936	NY
2	122300000X	Dentist	037054	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS KLEIN & RUBINSTEIN DENTISTS

Provider Business Mailing Address
First Line	:	1 HANSON PL
Second Line	:	SUITE 711
City	:	BROOKLYN
State	:	NY
Zip	:	11243-2907
Country	:	US
Telephone Number	:	718-636-0435
Fax Number	:	718-857-6100

Provider Business Practice Location Address
First Line	:	1 HANSON PL
Second Line	:	SUITE 711
City	:	BROOKLYN
State	:	NY
Zip	:	11243-2907
Country	:	US
Telephone Number	:	718-636-0435
Fax Number	:	718-857-6100

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAURA ARLENE KLEIN
Credential	:	DDS
Telephone Number	:	718-636-0430

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	08/22/2020

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Directions to “DRS KLEIN & RUBINSTEIN DENTISTS ” Practice Location

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