Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 002074 | NY |
NPI | 1053360578 |
---|---|
Provider Name | Mrs. Ann S Klein |
First Address | West Seneca, NY 14224-3332 |
Second Address | West Seneca, NY 14224-3332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0052749501 | BC & BS OF WNY (01) | |
6511050 | IHA (01) |