Provider Demographics
NPI:1558889428
Name:KAHN, ERIC (LMT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:KAHN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 ROBERT DR APT 6
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-5665
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:770 NIAGARA FALLS BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-1837
Practice Address - Country:US
Practice Address - Phone:716-462-4693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02776225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist