Provider Demographics
NPI:1932496858
Name:KAHEN-KASHI, SARA (OD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:KAHEN-KASHI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 SAINT PETERS AVE
Mailing Address - Street 2:FL 1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3000
Mailing Address - Country:US
Mailing Address - Phone:718-823-9227
Mailing Address - Fax:
Practice Address - Street 1:33 W 42ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8005
Practice Address - Country:US
Practice Address - Phone:212-938-4001
Practice Address - Fax:212-938-5831
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007711-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00244528Medicaid
NYW01551Medicare PIN