Doctor Name: | MRS. GAIL ELIZABETH KANE |
NPI Number: | 1205158508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F336127 |
Business Practice Address: | 4417 Vestal Parkway East Suite 301 Vestal, NY - 138503556 |
Business Phone Number: | 6077974496 |
Business Fax Number: | 6077295995 |
Mailing Address: | 346 Grand Ave, JOHNSON CITY |
State: | NY |
Postal Code: | 137902580 |
Phone Number: | 6077298156 |
Fax Number: | 6077293982 |
NPI Enumeration Date: | 02/28/2010 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F336127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |