Individual
CHRISTINE VICTORIA KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
SONYBROOK UNIVERSITY MEDICAL CENTER AMB, 1 EDMUND PELLEGRINO ROAD, STONY BROOK, NY 11794-0001
(631) 444-9404
Mailing address
STONYBROOK UNIVERSITY MEDICAL CENTER ASC, 1 EDMUND PELLEGRINO ROAD, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3013351
NY
363LP0200X
Pediatric Nurse Practitioner
F3817051
NY
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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