MEDICARE: DR. ALISON KLEIN DMD

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	122300000X	Dentist	42055	NY
2	122300000X	Dentist	042055-1	NY

General Provider Information

NPI Number	:	1609845288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISON KLEIN DMD

Provider Business Mailing Address
First Line	:	40 W 86TH ST STE 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3605
Country	:	US
Telephone Number	:	212-769-3618
Fax Number	:	212-222-6030

Provider Business Practice Location Address
First Line	:	40 W 86TH ST STE 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3605
Country	:	US
Telephone Number	:	212-769-3618
Fax Number	:	212-222-6030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	03/21/2018

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