Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 255029 | NY |
N | 2080P0210X | Pediatric Nephrologist | 255029 | NY |
NPI | 1033358676 |
---|---|
Provider Name | Dr. Jason Adam Klein |
First Address | Wantagh, NY 11793-1263 |
Second Address | New York, NY 10016-6004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2009 |
Last Update Date | 29/05/2020 |