# BSD MEDICAL PRACTICE II LLC

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

## Provider details

- **NPI number:** 1902606833
- **Authorized official:** ANTHONY MICHAEL KANE (MD/CEO)
- **Authorized official phone:** (845) 202-9787

## Contact information

- **Practice address:** 1620 VAUXHALL RD STE 100-11, UNION, NJ 07083-3409
- **Practice address phone:** (908) 882-2025
- **Practice address fax:** (718) 387-6429
- **Mailing address:** 1620 VAUXHALL RD STE 100-11, UNION, NJ 07083-3409
- **Mailing address phone:** (908) 882-2025
- **Mailing address fax:** (718) 387-6429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/18/2025
- **Last updated:** 09/16/2025