Provider Demographics
NPI:1689266504
Name:KLEIN, LINDSEY K (RD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:K
Last Name:KLEIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 FALCON CT
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-4010
Mailing Address - Country:US
Mailing Address - Phone:516-965-6853
Mailing Address - Fax:
Practice Address - Street 1:170 FALCON CT
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-4010
Practice Address - Country:US
Practice Address - Phone:516-965-6853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86154075133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered