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General NPI Number Information
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NPI Number | 1073985842
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Entity Type | Organization
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Legal Business Name | S. KLEIN MD LLC
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 21333 39TH AVE STE 240
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City | BAYSIDE
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State | NY
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Zip | 11361-2091
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Country | US
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Telephone | 212-673-6083
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Fax | 718-631-0195
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Provider Business Mailing Address
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Address Line | 21333 39TH AVE SUITE 240
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City | BAYSIDE
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State | NY
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Zip | 11361-2091
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Country | US
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Telephone | 212-673-6083
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Fax | 718-631-0195
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN KLEIN
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Credential | M.D.
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Telephone | 917-880-8079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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