Provider Demographics
NPI:1679568893
Name:KLEIN, ADAM BRIAN (DPM)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BRIAN
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HEMPSTEAD AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-1614
Mailing Address - Country:US
Mailing Address - Phone:516-593-1941
Mailing Address - Fax:516-593-2224
Practice Address - Street 1:50 HEMPSTEAD AVE
Practice Address - Street 2:SUITE E
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-1614
Practice Address - Country:US
Practice Address - Phone:516-593-1941
Practice Address - Fax:516-593-2224
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005882213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPJ1981Medicare ID - Type Unspecified
U98799Medicare UPIN