Healthcare Provider Details

I. General information

NPI: 1184589202
Provider Name (Legal Business Name): GRACE KANE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E 51ST ST
NEW YORK NY
10022-6521
US

IV. Provider business mailing address

235 E 51ST ST
NEW YORK NY
10022-6521
US

V. Phone/Fax

Practice location:
  • Phone: 718-673-0087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number946666
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: