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NPI Code Detail

MEDICARE: MR. ELI KLEIN CERTIFIED PEDORTHIST

MEDICARE: MR. ELI KLEIN CERTIFIED PEDORTHIST
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
1174400000XSpecialist

General Provider Information

NPI Number : 1790835668
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELI KLEIN CERTIFIED PEDORTHIST
Provider Business Mailing Address
First Line : 1274 49TH ST
Second Line : #366
City : BROOKLYN
State : NY
Zip : 11219-3011
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 : 11219-5023
Country : US
Telephone Number : 718-851-2400
Fax Number : 718-871-6732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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Directions to “ MR. ELI KLEIN CERTIFIED PEDORTHIST” Practice Location

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