Provider Demographics
NPI:1083968275
Name:KAHN CHIROPRACTIC-CERTIFIED DIETITION NUTRITIONIST PC
Entity Type:Organization
Organization Name:KAHN CHIROPRACTIC-CERTIFIED DIETITION NUTRITIONIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:H
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-300-5538
Mailing Address - Street 1:51 WARREN ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3509
Mailing Address - Country:US
Mailing Address - Phone:212-374-0102
Mailing Address - Fax:212-513-1618
Practice Address - Street 1:51 WARREN ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3509
Practice Address - Country:US
Practice Address - Phone:212-374-0102
Practice Address - Fax:212-513-1618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70007392111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty