Provider Demographics
NPI:1619136371
Name:KLEIN, RENEE (OD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:MOSCZYC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:698 W END AVE APT 13D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6837
Mailing Address - Country:US
Mailing Address - Phone:718-344-2882
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007282152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist