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NPI Code Detail

MEDICARE: STEPHANIE KANE LMHC-P

MEDICARE: STEPHANIE KANE LMHC-P
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1902311566
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KANE LMHC-P
Provider Business Mailing Address
First Line : 1526 WALDEN AVE STE 400
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-4985
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 310 PENNSYLVANIA AVE
Second Line :
City : ELMIRA
State : NY
Zip : 14904-1458
Country : US
Telephone Number : 607-737-2490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2017
Last Update Date : 10/16/2018

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