Provider Demographics
NPI:1417302308
Name:KLIEN, ZINAIDA (DPM)
Entity Type:Individual
Prefix:
First Name:ZINAIDA
Middle Name:
Last Name:KLIEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13915 83RD AVE APT 413
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1508
Mailing Address - Country:US
Mailing Address - Phone:646-372-2758
Mailing Address - Fax:
Practice Address - Street 1:13915 83RD AVE APT 413
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-1508
Practice Address - Country:US
Practice Address - Phone:646-372-2758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program