MICHAEL LANE

VESTAL, NY
NPI1801357447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  344800)
Enumeration Date2019-03-27
Last Update Date2019-07-31
Business Address
MICHAEL LANE
4417 VESTAL PKWY E
VESTAL, NY 13850-3556
Phone number: 607-729-2144
Mailing Address
MICHAEL LANE
33 LEWIS RD 2ND FL
BINGHAMTON, NY 13905
Phone number: 607-729-8156