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Individual

MR. MATHEW KAHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
273 HEBERTON AVE, STATEN ISLAND, NY 10302-1809
(718) 412-3170
(718) 420-0514
Mailing address
273 HEBERTON AVE, STATEN ISLAND, NY 10302-1809
(718) 412-3170
(718) 420-0514

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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