Provider Demographics
NPI:1609861681
Name:KLEIN, SCOTT M (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:M
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:977 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-8015
Mailing Address - Fax:718-635-7235
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2844
Practice Address - Country:US
Practice Address - Phone:718-283-8854
Practice Address - Fax:718-635-7235
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2138392080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY213839OtherHIP
NY26N9411OtherNEIGHBORHOOD HEALTH
NY4C3228OtherHEALTH NET
NYKS3839OtherATLANTIS HEALTH PLAN
NYP1317094OtherOXFORD HEALTH PLAN
NY01955128Medicaid
NY213839-A15OtherHEALTH FIRST
NY2698618OtherGHI
NY1000024950OtherAFFINITY HEALTH
NY5B1001OtherEMPIRE BCBS
NYP1317094OtherOXFORD HEALTH PLAN
NYG96558Medicare UPIN