MEDICARE: ELIEZER KLEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1124207592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIEZER KLEIN

Provider Business Mailing Address
First Line	:	1274 49TH ST
Second Line	:	#366
City	:	BROOKLYN
State	:	NY
Zip	:	11219
Country	:	US
Telephone Number	:	718-851-2400
Fax Number	:	718-871-6732

Provider Business Practice Location Address
First Line	:	1541 60TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219
Country	:	US
Telephone Number	:	718-851-2400
Fax Number	:	718-871-6732

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ELI KLEIN
Credential	:	CERTIFIED PEDORTHIST
Telephone Number	:	718-851-2400

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	12/13/2011

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Directions to “ELIEZER KLEIN ” Practice Location

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