Provider Demographics
NPI:1265600845
Name:KAHN,KAHN,KAHN
Entity type:Organization
Organization Name:KAHN,KAHN,KAHN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:TED
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:631-473-5715
Mailing Address - Street 1:701 ROUTE 25A
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MT.SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766
Mailing Address - Country:US
Mailing Address - Phone:631-473-5715
Mailing Address - Fax:
Practice Address - Street 1:701 ROUTE 25A
Practice Address - Street 2:SUITE 1A
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2050
Practice Address - Country:US
Practice Address - Phone:631-473-5715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty