MEDICARE: NADAV K KLEIN MD

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	2084H0002X	Hospice and Palliative Medicine (Psychiatry & Neurology) Physician	314753	NY
2	2084P0800X	Psychiatry Physician	314753	NY
3	2084H0002X	Hospice and Palliative Medicine (Psychiatry & Neurology) Physician	79957	CT

General Provider Information

NPI Number	:	1649768557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADAV K KLEIN MD

Provider Business Mailing Address
First Line	:	292 MAIN ST
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-1416
Country	:	US
Telephone Number	:	929-256-2441
Fax Number	:	929-220-2647

Provider Business Practice Location Address
First Line	:	292 MAIN ST
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-1416
Country	:	US
Telephone Number	:	929-256-2241
Fax Number	:	929-220-2647

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

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	12/05/2025

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