Provider Demographics
NPI:1336586817
Name:KLEIN, DANIEL PETER (DPT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:PETER
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:293 ROUTE 100
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3213
Mailing Address - Country:US
Mailing Address - Phone:914-276-2520
Mailing Address - Fax:914-276-0195
Practice Address - Street 1:293 ROUTE 100
Practice Address - Street 2:SUITE 107
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3213
Practice Address - Country:US
Practice Address - Phone:914-276-2520
Practice Address - Fax:914-276-0195
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036229225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist