Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 005079 | NY |
NPI | 1114230612 |
---|---|
Provider Name | Mrs. Arlene S. Klein |
First Address | Port Washington, NY 11050-3310 |
Second Address | Port Washington, NY 11050-3310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2010 |
Last Update Date | 26/07/2010 |