Provider Demographics
NPI:1942393061
Name:KLEIN GEIER LIPP MD LLP
Entity Type:Organization
Organization Name:KLEIN GEIER LIPP MD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-294-9380
Mailing Address - Street 1:300 OLD COUNTRY ROAD
Mailing Address - Street 2:STE 31
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501
Mailing Address - Country:US
Mailing Address - Phone:516-294-9380
Mailing Address - Fax:516-294-5351
Practice Address - Street 1:300 OLD COUNTRY ROAD
Practice Address - Street 2:STE 31
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501
Practice Address - Country:US
Practice Address - Phone:516-294-9380
Practice Address - Fax:516-294-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W23031Medicare ID - Type Unspecified