Provider Demographics
NPI:1114297231
Name:KLEINHAUS, SYLVAIN (MD)
Entity Type:Individual
Prefix:
First Name:SYLVAIN
Middle Name:
Last Name:KLEINHAUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 COUNTRY CLUB LANE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2347
Mailing Address - Country:US
Mailing Address - Phone:914-747-0734
Mailing Address - Fax:914-747-0793
Practice Address - Street 1:8 COUNTRY CLUB LANE
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2347
Practice Address - Country:US
Practice Address - Phone:914-747-0734
Practice Address - Fax:914-747-0793
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093242208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery