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1508022674
JASON M LANE
STATEN ISLAND, NY
NPI
1508022674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 030268-1)
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
JASON M LANE DPT
31 NEW DORP LN
STATEN ISLAND, NY 10306-2320
Phone number: 718-370-3500
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Mailing Address
JASON M LANE DPT
1655 RICHMOND AVE
STATEN ISLAND, NY 10314-1570
Phone number: 718-370-3500
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