Provider Demographics
NPI:1508951476
Name:KLEIN, NANCY NORZIN DORJEE (NP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:NORZIN DORJEE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:55 WATER STREET
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:86-15 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4427
Practice Address - Country:US
Practice Address - Phone:718-899-6600
Practice Address - Fax:718-606-3881
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NR12059400363LF0000X
NYF334567363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily