Healthcare Provider Details

I. General information

NPI: 1760314579
Provider Name (Legal Business Name): MICHELLE KAHN, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 5TH AVE
NEW YORK NY
10021-4156
US

IV. Provider business mailing address

905 5TH AVE
NEW YORK NY
10021-4156
US

V. Phone/Fax

Practice location:
  • Phone: 212-970-0625
  • Fax:
Mailing address:
  • Phone:
  • Fax: 512-543-2326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE KAHN
Title or Position: FOUNDER
Credential:
Phone: 516-510-5630