Individual
KATHLEEN PATRICIA KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
348 DEISIUS ST, STATEN ISLAND, NY 10312-4400
(718) 668-3270
Mailing address
133 PACIFIC AVE, STATEN ISLAND, NY 10312-6211
(646) 628-6458
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
360844
NY
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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