Individual
KRYSTAL KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
175 EAST MAIN STREET, HUNTINGTON, NY 11743
(631) 470-1460
Mailing address
175 EAST MAIN STREET, HUNTINGTON, NY 11743
(631) 470-1460
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
015329
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/08/2011
Last updated
10/18/2023
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