Provider Demographics
NPI:1720260920
Name:KLEIN, ERIC NEIL (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:NEIL
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 COMMUNITY DR
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3816
Mailing Address - Country:US
Mailing Address - Phone:516-562-2992
Mailing Address - Fax:516-562-1576
Practice Address - Street 1:1999 MARCUS AVE
Practice Address - Street 2:SUITE 106C
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1033
Practice Address - Country:US
Practice Address - Phone:516-233-3601
Practice Address - Fax:516-562-1521
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2017-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0531992086S0102X
MA2505342086S0102X
NY2499352086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1720260920OtherUNITED HEALTHCARE
CT1720260920OtherANTHEM BCBS
CT1720260920OtherAETNA