Individual
DR. ANDREW L KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
290 CENTRAL AVE, SUITE 110, LAWRENCE, NY 11559-8507
(516) 239-6609
Mailing address
290 CENTRAL AVE, SUITE 110, LAWRENCE, NY 11559-8507
(516) 239-6609
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
009897
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
009897
NY
103TA0700X
Adult Development & Aging Psychologist
009897
NY
103TC0700X
Clinical Psychologist
Primary
009897
NY
103TF0000X
Family Psychologist
009897
NY
103TF0200X
Forensic Psychologist
009897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435607
—
NY
Enumeration date
10/07/2005
Last updated
01/28/2010
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