Provider Demographics
NPI:1407930340
Name:KLEIN, RICHARD HARRIS (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HARRIS
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 SUSSEX ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4577
Mailing Address - Country:US
Mailing Address - Phone:212-713-0180
Mailing Address - Fax:212-765-3110
Practice Address - Street 1:317 W 54TH ST APT E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-7504
Practice Address - Country:US
Practice Address - Phone:212-713-0180
Practice Address - Fax:212-765-3110
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004158-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor