Provider Demographics
NPI:1114155744
Name:KAHN CHIROPRACTOR-CERTIFIED DIETITIAN-NUTRITIONIST PC
Entity Type:Organization
Organization Name:KAHN CHIROPRACTOR-CERTIFIED DIETITIAN-NUTRITIONIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-374-0102
Mailing Address - Street 1:51 WARREN ST
Mailing Address - Street 2:
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:212-732-3760
Practice Address - Street 1:37 MURRAY ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2212
Practice Address - Country:US
Practice Address - Phone:212-374-0102
Practice Address - Fax:212-732-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty