Basic Information
Provider Information
NPI: 1306076559
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAHR
FirstName: FLORIAN
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12415 FAIRHILL RD
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441201015
CountryCode: US
TelephoneNumber: 2162983072
FaxNumber:  
Practice Location
Address1: TRUSTEES OF COLUMBIA UNIVERSITY, DEPT. OF PSYCHIATRY
Address2: 177 FORT WASHINGTON AVENUE
City: NEW YORK
State: NY
PostalCode: 100320001
CountryCode: US
TelephoneNumber: 2123053090
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/22/2009
LastUpdateDate: 04/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X296943NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X35.120114OHN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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