Provider Demographics
NPI:1265457345
Name:KLEIN, PATTI S (DO)
Entity Type:Individual
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First Name:PATTI
Middle Name:S
Last Name:KLEIN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:155 E 52ND ST
Mailing Address - Street 2:7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6029
Mailing Address - Country:US
Mailing Address - Phone:917-945-5459
Mailing Address - Fax:212-239-0948
Practice Address - Street 1:19 W 34TH ST
Practice Address - Street 2:PH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:917-945-5459
Practice Address - Fax:212-239-0948
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2011-06-29
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Provider Licenses
StateLicense IDTaxonomies
NY229129-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY372BL1Medicare PIN
NYH99970Medicare UPIN