Provider Demographics
NPI:1134100621
Name:DRS KLEIN & RUBINSTEIN DENTISTS
Entity type:Organization
Organization Name:DRS KLEIN & RUBINSTEIN DENTISTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-636-0430
Mailing Address - Street 1:1 HANSON PL
Mailing Address - Street 2:SUITE 711
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11243-2907
Mailing Address - Country:US
Mailing Address - Phone:718-636-0435
Mailing Address - Fax:718-857-6100
Practice Address - Street 1:1 HANSON PL
Practice Address - Street 2:SUITE 711
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11243-2907
Practice Address - Country:US
Practice Address - Phone:718-636-0435
Practice Address - Fax:718-857-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047936122300000X
NY037054122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00809370Medicaid
NY02010180Medicaid