Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N002283-1 | NY |
NPI | 1376701060 |
---|---|
Provider Name | Dr. David E Klein |
First Address | Roslyn, NY 11576-2230 |
Second Address | Roslyn, NY 11576-2230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 29/05/2008 |