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Individual

MR. ROBERT M KANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPT.DISP.

Contact information

Practice address
2115 E 15TH ST, BROOKLYN, NY 11229-4364
(718) 336-0600
(718) 336-0649
Mailing address
2115 E 15TH ST, BROOKLYN, NY 11229-4364
(718) 336-0600
(718) 336-0649

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
5907
NY
156FX1800X
Optician
Primary
4019
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01151940
NY
Enumeration date
05/17/2006
Last updated
05/04/2010
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