Provider Demographics
NPI:1538464714
Name:JEFFREY CAHN
Entity Type:Organization
Organization Name:JEFFREY CAHN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-323-2882
Mailing Address - Street 1:1435 BEDFORD ST
Mailing Address - Street 2:STE 1P
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5246
Mailing Address - Country:US
Mailing Address - Phone:203-323-2882
Mailing Address - Fax:203-325-8392
Practice Address - Street 1:1435 BEDFORD ST
Practice Address - Street 2:STE 1P
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5246
Practice Address - Country:US
Practice Address - Phone:203-323-2882
Practice Address - Fax:203-325-8392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6456332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment