Search › New York › 363A00000X
Kevin Lane, PA-C
NPI 1821102203 · on the registry since 2006
Practice
- Address
- 622 W 168th St # Vc-260
New York, NY 10032 - Phone
- (212) 305-6059
- Fax
- (347) 479-1303
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X
363A00000X
363AM0700X - Licence states on file
- GA, MD, WV, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York