Healthcare Provider Details

I. General information

NPI: 1588722342
Provider Name (Legal Business Name): ANTHONY CRAWFORD CAHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 WESTCHESTER AVEUNE 201
PURCHASE NY
10577-3417
US

IV. Provider business mailing address

400 E MAIN ST 2ND FLOOR - NORTH BLDG.
MOUNT KISCO NY
10549-3417
US

V. Phone/Fax

Practice location:
  • Phone: 914-517-8220
  • Fax: 914-517-8235
Mailing address:
  • Phone: 914-517-8220
  • Fax: 914-517-8235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number154904
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: