Provider Demographics
NPI:1679777858
Name:DAHAN, ABIGAIL LEVENTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:LEVENTER
Last Name:DAHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 GRAND AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-6583
Mailing Address - Country:US
Mailing Address - Phone:646-450-7728
Mailing Address - Fax:888-857-4269
Practice Address - Street 1:60 GRAND AVE STE 202
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-6583
Practice Address - Country:US
Practice Address - Phone:646-450-7729
Practice Address - Fax:888-857-4269
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2444352084P0800X
NJ25MA085617002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry