Organization
KANE DENTAL OF FARMINGDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH KANE D.D.S. (OWNER)
(516) 931-4500
Entity
Organization
Contact information
Practice address
1111 BROADHOLLOW RD, SUITE 210, FARMINGDALE, NY 11735-4820
(631) 756-5656
Mailing address
184 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4011
(516) 931-4500
(516) 931-8362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049789-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02280995
—
NY
Enumeration date
12/10/2014
Last updated
12/10/2014
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