Healthcare Provider Details

I. General information

NPI: 1346895125
Provider Name (Legal Business Name): MARGO KAHN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 38TH ST
BROOKLYN NY
11218-3612
US

IV. Provider business mailing address

182 BENNETT AVE APT 4K
NEW YORK NY
10040-3847
US

V. Phone/Fax

Practice location:
  • Phone: 847-224-7125
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: