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Individual

DR. EDWARD A KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 NICOLLS RD RM 749, STONY BROOK, NY 11794-1928
(631) 444-2222
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
152043
NY
207ZP0101X
Anatomic Pathology Physician
152043
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
152043
NY

Other

Enumeration date
08/19/2005
Last updated
11/20/2019
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