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General NPI Number Information
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NPI Number | 1316158397
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Entity Type | Individual
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Provider Name | STEPHEN KLEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 213-33 39TH AVE. SUITE 240
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City | BAYSIDE
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State | NY
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Zip | 11361
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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 | 333 E. 14TH STREET APT. 7C
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City | NEW YORK
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State | NY
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Zip | 10003
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 156137-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 156137
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 156137-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 156137-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number | 156137-1
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License Number State | NY
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