Individual
JONATHAN KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3757 OCEANSIDE RD E, OCEANSIDE, NY 11572-5977
(718) 544-7575
(718) 544-7132
Mailing address
3757 OCEANSIDE RD E, OCEANSIDE, NY 11572-5977
(718) 544-7575
(718) 544-7132
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
005256
NY
213E00000X
Podiatrist
Primary
N005256-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01779299
—
NY
Enumeration date
06/23/2006
Last updated
02/07/2017
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