Kahn, Mark R
Kahn, Mark R is an individual health care provider with primary practice located at 260 W Sunrise Hwy Suite 305, Valley Stream NY 11581-1011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kahn, Mark R can be contacted via phone (516) 791-8664.Contact Information
Primary practice address
260 W Sunrise Hwy Suite 305
Valley Stream NY 11581-1011
Phone: (516) 791-8664
Fax: (516) 791-8420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 174507-1 | New York |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 174507-1 | New York |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 174507 | New York |
Profile Details
| NPI number | 1023017464 |
|---|---|
| LBN Legal business name | Kahn, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Aug 27th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023017464 | NPPES |
| New York | MEDICAID | 01836048 |
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