Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 196032 | NY |
NPI | 1235208414 |
---|---|
Provider Name | Dr. Jeffrey David Klein |
First Address | New York, NY 10010-5615 |
Second Address | New York, NY 10003-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E50286 | (02) | NY |