Provider Demographics
NPI:1609094754
Name:KLEIN, STEVEN I (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:I
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 1:2025 BRENTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-4656
Mailing Address - Country:US
Mailing Address - Phone:631-234-4949
Mailing Address - Fax:631-234-3307
Practice Address - Street 1:2025 BRENTWOOD RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4656
Practice Address - Country:US
Practice Address - Phone:631-234-4949
Practice Address - Fax:631-234-3307
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor