Individual
ANTHONY MICHAEL KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 GODFREY RD, BLOOMINGBURG, NY 12721-4605
(718) 841-8454
Mailing address
20 GODFREY RD, BLOOMINGBURG, NY 12721-4605
(718) 841-8454
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
188543
NY
208D00000X
General Practice Physician
25MA10688800
NJ
208D00000X
General Practice Physician
35055072
OH
208D00000X
General Practice Physician
4301099455
MI
Other
Enumeration date
05/24/2011
Last updated
08/11/2021
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