Provider Demographics
NPI:1598037731
Name:KLEIN CHIROPRACTIC ASSOCIATES, PC
Entity Type:Organization
Organization Name:KLEIN CHIROPRACTIC ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-713-0180
Mailing Address - Street 1:317 W 54TH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-7500
Mailing Address - Country:US
Mailing Address - Phone:212-713-0180
Mailing Address - Fax:212-765-3110
Practice Address - Street 1:317 W 54TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-7500
Practice Address - Country:US
Practice Address - Phone:212-713-0180
Practice Address - Fax:212-765-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004158-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX25851Medicare UPIN