Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 156137-1 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 156137 | NY |
N | 2081P2900X | Pain Medicine | 156137-1 | NY |
N | 2081S0010X | Sports Medicine | 156137-1 | NY |
N | 213ES0000X | Sports Medicine | 156137-1 | NY |
NPI | 1316158397 |
---|---|
Provider Name | Dr. Stephen Klein |
First Address | New York, NY 10003 |
Second Address | Bayside, NY 11361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 26/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D91762 | (02) | NY |
G300000087 | PTAN (01) | NY |