Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 1703411 | NY |
Y | 111NI0900X | Internist | 1703411 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 170341-1 | NY |
NPI | 1396723136 |
---|---|
Provider Name | Diane Kane |
First Address | Rochester, NY 14621 |
Second Address | Rochester, NY 14621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 06/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102536BJ | PREFERRED CARE (01) | |
P010170341 | BLUE CHOICE (01) | |
P020170341 | BLUE SHIELD ST ANNS (01) | |
P030170341 | BLUE SHIELD HERITAGE (01) | |
P040170341 | SACMP (01) |