Provider Demographics
NPI:1588722342
Name:CAHAN, ANTHONY CRAWFORD (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:CRAWFORD
Last Name:CAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E MAIN ST
Mailing Address - Street 2:2ND FLOOR - NORTH BLDG.
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3417
Mailing Address - Country:US
Mailing Address - Phone:914-517-8220
Mailing Address - Fax:914-517-8235
Practice Address - Street 1:3010 WESTCHESTER AVEUNE
Practice Address - Street 2:201
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-3417
Practice Address - Country:US
Practice Address - Phone:914-517-8220
Practice Address - Fax:914-517-8235
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154904174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY91D621Medicare ID - Type Unspecified
NYB20049Medicare UPIN