Provider Demographics
NPI:1588715577
Name:KAHAN, TZVI JOSEPH (OT)
Entity type:Individual
Prefix:
First Name:TZVI
Middle Name:JOSEPH
Last Name:KAHAN
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 51ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1345
Mailing Address - Country:US
Mailing Address - Phone:347-661-7098
Mailing Address - Fax:
Practice Address - Street 1:1927 51ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1345
Practice Address - Country:US
Practice Address - Phone:347-661-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011800174400000X
NJ46TR00432300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist