Provider Demographics
NPI:1295610723
Name:KAHENI, NAOMI
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:KAHENI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELISHEVA
Other - Middle Name:
Other - Last Name:KAHENI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:43 CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1506
Mailing Address - Country:US
Mailing Address - Phone:917-474-8213
Mailing Address - Fax:
Practice Address - Street 1:43 CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-1506
Practice Address - Country:US
Practice Address - Phone:917-474-8213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1920672251174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist