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NPI Code Detail

MEDICARE: ELAINE KLEIN LMSW

MEDICARE: ELAINE KLEIN LMSW
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
11041C0700XClinical Social Worker076236NY

General Provider Information

NPI Number : 1275794174
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE KLEIN LMSW
Provider Business Mailing Address
First Line : 159 WHITEWOOD DR
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-4045
Country : US
Telephone Number : 516-799-2739
Fax Number :
Provider Business Practice Location Address
First Line : 151 BURRS LN
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-6052
Country : US
Telephone Number : 631-643-8800
Fax Number : 631-491-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 06/23/2008

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Directions to “ ELAINE KLEIN LMSW” Practice Location

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