Healthcare Provider Details

I. General information

NPI: 1811969090
Provider Name (Legal Business Name): WILLIAM PAUL KLEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 DUTCH HILL RD SUITE 18
ORANGEBURG NY
10962-1723
US

IV. Provider business mailing address

60 DUTCH HILL RD SUITE 18
ORANGEBURG NY
10962-1723
US

V. Phone/Fax

Practice location:
  • Phone: 845-359-4770
  • Fax: 845-359-0017
Mailing address:
  • Phone: 845-359-4770
  • Fax: 845-359-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number090345
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: