Individual
JANE DATE HON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 STATION PLZ N STE 618, MINEOLA, NY 11501-3893
(516) 663-2166
Mailing address
128 MOTT ST RM 602-603, NEW YORK, NY 10013-5540
(917) 757-9504
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
286249
NY
Other
Enumeration date
09/06/2016
Last updated
11/16/2021
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