Individual
DR. DUSTIN KAHOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10 GRACE AVE STE 7, GREAT NECK, NY 11021-2423
(516) 479-4350
(516) 706-4448
Mailing address
10 GRACE AVE STE 7, GREAT NECK, NY 11021-2423
(516) 479-4350
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021201
NY
103TC0700X
Clinical Psychologist
021201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659746055
NPI
NY
Enumeration date
06/24/2015
Last updated
08/09/2021
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