JASON M LANE

STATEN ISLAND, NY
NPI1508022674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  030268-1)
Enumeration Date2008-07-29
Last Update Date2008-07-29
Business Address
-- JASON M LANE dpt
31 NEW DORP LN
STATEN ISLAND, NY 10306-2320
Phone number: 718-370-3500
Mailing Address
-- JASON M LANE dpt
1655 RICHMOND AVE
STATEN ISLAND, NY 10314-1570
Phone number: 718-370-3500
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