Individual
DIANE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 PORTLAND AVENUE, ST ANNS COMMUNITY, ROCHESTER, NY 14621
(585) 697-6413
(585) 342-9166
Mailing address
1500 PORTLAND AVENUE, ST ANNS COMMUNITY, ROCHESTER, NY 14621
(585) 697-6413
(585) 342-9166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1703411
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
170341-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102536BJ
PREFERRED CARE
—
01
—
P010170341
BLUE CHOICE
—
01
—
P020170341
BLUE SHIELD ST ANNS
—
01
—
P030170341
BLUE SHIELD HERITAGE
—
01
—
P040170341
SACMP
—
Enumeration date
01/03/2006
Last updated
07/06/2015
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