Provider Demographics
NPI:1730962135
Name:KLEIN, ZIBA (MS)
Entity type:Individual
Prefix:
First Name:ZIBA
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E 64TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7503
Mailing Address - Country:US
Mailing Address - Phone:201-834-4432
Mailing Address - Fax:
Practice Address - Street 1:240 E 54TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5286
Practice Address - Country:US
Practice Address - Phone:201-834-4432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist