Basic Information
| Provider Information | |||||||||
| NPI: | 1588026223 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOBRA | ||||||||
| FirstName: | KLAUS | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 SCAMPA DR | ||||||||
| Address2: | |||||||||
| City: | WINDHAM | ||||||||
| State: | ME | ||||||||
| PostalCode: | 040625496 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2077125909 | ||||||||
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| Practice Location | |||||||||
| Address1: | 409 FULTON ST FL 2 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112015103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182601000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2016 | ||||||||
| LastUpdateDate: | 04/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 040054 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.