Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | N005896 | NY |
Y | 213ES0000X | Sports Medicine | N005896 | NY |
NPI | 1285733774 |
---|---|
Provider Name | Dr. Christopher Klein |
First Address | Brooklyn, NY 11215-2816 |
Second Address | New York, NY 10021-3556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U93802 | (02) | NY |