Healthcare Provider Details

I. General information

NPI: 1245235548
Provider Name (Legal Business Name): STEVEN M KLEIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BOWMAN AVE
RYE BROOK NY
10573-2801
US

IV. Provider business mailing address

81 BOWMAN AVE
RYE BROOK NY
10573-2801
US

V. Phone/Fax

Practice location:
  • Phone: 914-937-5900
  • Fax: 914-939-3124
Mailing address:
  • Phone: 914-937-5900
  • Fax: 914-939-3124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number035906
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: