MEDICARE: DR. JEFFREY KAHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	174607	NY

General Provider Information

NPI Number	:	1326034968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY KAHN MD

Provider Business Mailing Address
First Line	:	PO BOX 2003
Second Line	:
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-4503
Country	:	US
Telephone Number	:	315-449-2208
Fax Number	:	315-362-5120

Provider Business Practice Location Address
First Line	:	5000 BRITTONFIELD PKWY
Second Line	:	SUITE A-122
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-9226
Country	:	US
Telephone Number	:	315-234-9679
Fax Number	:	315-234-9680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	03/28/2013

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