Healthcare Provider Details

I. General information

NPI: 1184668220
Provider Name (Legal Business Name): DR. NORMAN KLEIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKDALE PLZ 2CHC
BROOKLYN NY
11212-3139
US

IV. Provider business mailing address

80 MARCUS DR
MELVILLE NY
11747-4230
US

V. Phone/Fax

Practice location:
  • Phone: 718-240-5045
  • Fax: 718-240-6545
Mailing address:
  • Phone: 631-391-8366
  • Fax: 631-454-4163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number132880
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: