Provider Demographics
NPI:1548602592
Name:KLEIN, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14905 79TH AVE
Mailing Address - Street 2:APT 632
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3855
Mailing Address - Country:US
Mailing Address - Phone:240-997-4369
Mailing Address - Fax:
Practice Address - Street 1:14905 79TH AVE
Practice Address - Street 2:APT 632
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3855
Practice Address - Country:US
Practice Address - Phone:240-997-4369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017862225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist