Provider Demographics
NPI:1811969090
Name:KLEIN, WILLIAM PAUL (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PAUL
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 1:60 DUTCH HILL RD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-1723
Mailing Address - Country:US
Mailing Address - Phone:845-359-4770
Mailing Address - Fax:845-359-0017
Practice Address - Street 1:60 DUTCH HILL RD
Practice Address - Street 2:SUITE 18
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1723
Practice Address - Country:US
Practice Address - Phone:845-359-4770
Practice Address - Fax:845-359-0017
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090345174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00142732Medicaid
0221011OtherCIGNA
000000021938OtherGHI HMO
1046060OtherUNITED HEALTHCARE
11464OtherHUDSON HEALTHPLAN
121938OtherWELLCARE
504981OtherEMPIRE BLUECROSS BLUESHIELD
070009582OtherRAILROAD MEDICARE
2200229OtherGHI PPO
4222489OtherAETNA
0D2710OtherHEALTHNET ACS
RS138OtherOXFORD HEALTHPLANS
4222489OtherAETNA
1046060OtherUNITED HEALTHCARE