Individual
MICHAEL KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 200N, HAWTHORNE, NY 10532-2140
(914) 493-7701
(914) 345-0653
Mailing address
19 BRADHURST AVE, SUITE 200N, HAWTHORNE, NY 10532-2140
(914) 493-7701
(914) 345-0653
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
203273
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01881089
—
NY
01
—
A400062946
MEDICARE PTAN
NY
01
—
A400062948
MEDICARE PTAN
NY
Enumeration date
07/29/2005
Last updated
03/06/2023
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