Provider Demographics
NPI:1518944743
Name:KAHN, SHOSHANAH E (MD,)
Entity type:Individual
Prefix:DR
First Name:SHOSHANAH
Middle Name:E
Last Name:KAHN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:545 CLUBHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1901
Mailing Address - Country:US
Mailing Address - Phone:347-282-8895
Mailing Address - Fax:718-795-1966
Practice Address - Street 1:222 ROCKAWAY TPKE STE 2
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1833
Practice Address - Country:US
Practice Address - Phone:516-812-5066
Practice Address - Fax:718-795-1966
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1907031207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02210722Medicaid
NY270341Medicare ID - Type UnspecifiedEMPIRE MEDICARE SERVICES
NY02210722Medicaid