Individual
DR. MARK R KAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 W SUNRISE HWY, SUITE 305, VALLEY STREAM, NY 11581-1011
(516) 791-8664
(516) 791-8420
Mailing address
266 MERRICK RD, SUITE 201, LYNBROOK, NY 11563-2640
(516) 599-4242
(516) 599-4498
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
174507
NY
207N00000X
Dermatology Physician
174507-1
NY
207NS0135X
Procedural Dermatology Physician
174507-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01836048
—
NY
Enumeration date
07/19/2005
Last updated
08/27/2013
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