Klein, Jeffrey Alan

Klein, Jeffrey Alan is an individual health care provider with primary practice located at 180 E Central Ave , Pearl River NY 10965-2537. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Klein, Jeffrey Alan can be contacted via phone (845) 735-3100.

Contact Information

Primary practice address
180 E Central Ave Pearl River NY 10965-2537
Fax: (845) 735-0114
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 043986 New York

Profile Details

NPI number 1548247117
LBN Legal business name Klein, Jeffrey Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548247117 NPPES
New York Other 0018099 INS. ID
New York MEDICAID 01472004 INS. ID

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