Provider Demographics
NPI:1902815152
Name:KLEIN, JANET LYNN (MS, RDN, CDN, CDE)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MS, RDN, CDN, CDE
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:LYNN
Other - Last Name:KOVLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN, CDN, CDE
Mailing Address - Street 1:186 MOUNTAIN TOP DR
Mailing Address - Street 2:
Mailing Address - City:DINGMANS FERRY
Mailing Address - State:PA
Mailing Address - Zip Code:18328-9128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 SMITH ST
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2913
Practice Address - Country:US
Practice Address - Phone:845-283-0036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY709467133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9012E1Medicare ID - Type UnspecifiedNUMBER