# ANNIE COBURN-KANE LCSW PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356977151
- **Authorized official:** MRS. ANNIE L COBURN-KANE LCSW-R (PRESIDENT)
- **Authorized official phone:** (716) 807-2582

## Contact information

- **Practice address:** 638 LAKE ST \# 818, WILSON, NY 14172-9600
- **Practice address phone:** (716) 807-2582
- **Mailing address:** 638 LAKE ST \# 818, WILSON, NY 14172-9600
- **Mailing address phone:** (716) 807-2582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 02/13/2026