Organization
STANLEY J KLEIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICH PAPPERMAN (PROVIDER ENROLLMENT MANAGER)
(609) 463-8075
Entity
Organization
Contact information
Practice address
310 RICHMOND HILL RD, STATEN ISLAND, NY 10314-7585
(718) 761-0024
Mailing address
310 RICHMOND HILL RD, STATEN ISLAND, NY 10314-7509
(718) 761-0024
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
N002858-1
NY
Other
Enumeration date
01/24/2012
Last updated
03/01/2012
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