MEDICARE: JEFFREY DAVID KASHIN 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	2084P0800X	Psychiatry Physician	171039	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821061227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY DAVID KASHIN MD

Provider Business Mailing Address
First Line	:	1300 BRICKELL BAY DR APT 3504
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-3483
Country	:	US
Telephone Number	:	716-392-2939
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 BRICKELL BAY DR APT 3504
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-3483
Country	:	US
Telephone Number	:	716-392-2939
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	04/19/2023

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