Provider Demographics
NPI:1346235751
Name:KLIG, SHARI LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:LYNN
Last Name:KLIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 COLGATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803
Mailing Address - Country:US
Mailing Address - Phone:516-433-8530
Mailing Address - Fax:516-692-4240
Practice Address - Street 1:4250 HEMPSTEAD TURNPIKE
Practice Address - Street 2:SUITE 21
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714
Practice Address - Country:US
Practice Address - Phone:516-433-8530
Practice Address - Fax:516-692-4240
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:2005-10-25
Deactivation Code:
Reactivation Date:2006-11-29
Provider Licenses
StateLicense IDTaxonomies
NY175978207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
37F001Medicare UPIN