Provider Demographics
NPI:1447214630
Name:KAHN-KAPP, EVELINA (MD)
Entity Type:Individual
Prefix:DR
First Name:EVELINA
Middle Name:
Last Name:KAHN-KAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EVELINA
Other - Middle Name:
Other - Last Name:KAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19 YARMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19 YARMOUTH ST
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1411
Practice Address - Country:US
Practice Address - Phone:631-549-1620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine