Provider Demographics
NPI:1962468686
Name:KLEIN, NATALIE CAROL (MD,)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:CAROL
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD,
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Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:432
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3808
Mailing Address - Country:US
Mailing Address - Phone:516-663-2507
Mailing Address - Fax:516-663-2753
Practice Address - Street 1:222 STATION PLZ N
Practice Address - Street 2:432
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3808
Practice Address - Country:US
Practice Address - Phone:516-663-2507
Practice Address - Fax:516-663-2753
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2015-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1425361174400000X
NY142536207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
E17284Medicare UPIN