Provider Demographics
NPI:1649768557
Name:KLEIN, NADAV K (MD)
Entity type:Individual
Prefix:
First Name:NADAV
Middle Name:K
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-1416
Mailing Address - Country:US
Mailing Address - Phone:929-256-2441
Mailing Address - Fax:929-220-2647
Practice Address - Street 1:292 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-1416
Practice Address - Country:US
Practice Address - Phone:929-256-2241
Practice Address - Fax:929-220-2647
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3147532084H0002X, 2084P0800X
CT799572084H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry