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General NPI Number Information
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NPI Number | 1407922297
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Entity Type | Individual
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Provider Name | ELLEN IDA KAHN MD
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Gender | Female
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Dates
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Enumeration Date | 11/26/2006
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 233 E SHORE RD
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City | GREAT NECK
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State | NY
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Zip | 11023-2433
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Country | US
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Telephone | 516-487-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SHEEP PASTURE LN
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City | HUNTINGTON
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State | NY
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Zip | 11743-5135
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Country | US
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Telephone | 631-692-8548
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 128596
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License Number State | NY
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