Individual
KENNETH P KAHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 629-2470
(516) 629-2027
Mailing address
PO BOX 1559, PORT WASHINGTON, NY 11050-7559
(516) 629-2470
(516) 629-2027
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
136550
NY
2084P0800X
Psychiatry Physician
136550
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00508874
—
NY
Enumeration date
01/09/2007
Last updated
09/11/2025
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