Provider Demographics
NPI:1922096528
Name:NEVE, KAJ ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAJ
Middle Name:ALLAN
Last Name:NEVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 W END AVE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-8401
Mailing Address - Country:US
Mailing Address - Phone:212-932-8286
Mailing Address - Fax:
Practice Address - Street 1:865 W END AVE
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-8401
Practice Address - Country:US
Practice Address - Phone:212-932-8286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-09
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1315142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12G251Medicare PIN
NYF20928Medicare UPIN
NYF20928Medicare UPIN
NY12G251Medicare ID - Type Unspecified