IndividualActive
Mathew Kaht
NPI 1376937326 · Children's Substance Abuse Rehabilitation Facility · Staten Island, NY
Provider details
- NPI number
- 1376937326
- Entity type
- Individual
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
273 Heberton Ave
Staten Island, NY 10302-1809
Phone: (718) 412-3170
Fax: (718) 420-0514
Approximate (ZIP-level) locationGet directions
Mailing address
273 Heberton Ave
Staten Island, NY 10302-1809
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2015-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.