Individual
EDWARD FRANCIS KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-5787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023552
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2019
Last updated
08/16/2019
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