Organization
KENNETH KAHANER M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KAHANER M.D. (PRESIDENT)
(516) 829-6978
Entity
Organization
Contact information
Practice address
15 BARSTOW RD, GREAT NECK, NY 11021-2211
(516) 829-6978
(516) 829-9632
Mailing address
PO BOX 1559, PORT WASHINGTON, NY 11050-7559
(516) 629-2470
(516) 629-2452
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
136550
NY
2084P0800X
Psychiatry Physician
Primary
136550
NY
Other
Enumeration date
01/05/2011
Last updated
08/09/2013
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