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Organization

MARK R KAHN MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK ROBERT KAHN MD (OWNER)
(516) 496-4141
Entity
Organization

Contact information

Practice address
175 JERICHO TPKE STE 204, SYOSSET, NY 11791-4538
(516) 496-4141
(516) 496-4393
Mailing address
175 JERICHO TPKE STE 204, SYOSSET, NY 11791-4538
(516) 496-4141
(516) 496-4393

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
265075
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
265075
LICENSE
NY
Enumeration date
12/21/2017
Last updated
12/21/2017
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