KEVIN A LANE

NEW YORK, NY
NPI1821102203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  005639)
Additional Taxonomies363A00000X Physician Assistant
(Licence: GA  002999)
363A00000X Physician Assistant
(Licence: MD  C0003531)
363AM0700X Physician Assistant, Medical
(Licence: NY  005639)
Enumeration Date2006-08-19
Last Update Date2023-10-03
Business Address
Mr. KEVIN A LANE PA-C
622 W 168TH ST # VC-260
NEW YORK, NY 10032-3720
Phone number: 212-305-6059
Mailing Address
Mr. KEVIN A LANE PA-C
622 W 168TH ST # VC-260
NEW YORK, NY 10032-3720
Phone number: 212-305-6059