Provider Demographics
NPI:1376504142
Name:KLEIN, RICHARD STEVEN II (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STEVEN
Last Name:KLEIN
Suffix:II
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 1:1872 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4430
Mailing Address - Country:US
Mailing Address - Phone:914-962-3303
Mailing Address - Fax:914-962-4271
Practice Address - Street 1:1872 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4430
Practice Address - Country:US
Practice Address - Phone:914-962-3303
Practice Address - Fax:914-962-4271
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101328207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB87510Medicare UPIN
NY909991Medicare ID - Type Unspecified