Provider Demographics
NPI:1720186612
Name:DR MICHAEL KLEIN & DR GIDEON TARRASH
Entity Type:Organization
Organization Name:DR MICHAEL KLEIN & DR GIDEON TARRASH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFIRATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-624-2101
Mailing Address - Street 1:898 OYSTER BAY RD
Mailing Address - Street 2:D
Mailing Address - City:EAST NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:11732-1051
Mailing Address - Country:US
Mailing Address - Phone:516-624-2101
Mailing Address - Fax:516-624-2102
Practice Address - Street 1:898 OYSTER BAY RD
Practice Address - Street 2:D
Practice Address - City:EAST NORWICH
Practice Address - State:NY
Practice Address - Zip Code:11732-1051
Practice Address - Country:US
Practice Address - Phone:516-624-2101
Practice Address - Fax:516-624-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY480026606OtherRAIL ROAD MEDICARE
NY01674799Medicaid
NY480026606OtherRAIL ROAD MEDICARE
NY4747800001Medicare NSC
NYPFW461Medicare PIN