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Individual
MRS. REBECCA V KANE
Active
Individual
MRS. REBECCA V KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406370001
BLUE SHIELD
NY
01
—
017676
LICENSE
—
01
—
10025385
CDPHP
NY
01
—
2023570
AETNA HMO
NY
01
—
43050
MVP
NY
01
—
5573641
AETNA PPO
NY
01
—
650020454
RAILROAD MEDICARE
NY
01
—
Q28771
EMPIRE BC
NY
Enumeration date
12/16/2005
Last updated
04/10/2008
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