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Colleen Mary Kane

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

This provider is enrolled in PECOS as COLLEEN KANE.

Based on the most recent information from CMS, provider Colleen Mary Kane is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1124688486
Provider Type
Individual
Full Name
Kane, Colleen Mary
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/19/2019
Last Updated
6/19/2019

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Colleen Mary Kane

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lantowski, Agnieszka

Cusumano, Nicole Joann

Samuel, Jonathan Hendrickson

Hanna, Catherine

Guadagno, Lynn Marie

Compton, Korrine A

Staten Island Faculty Medical Affiliates, University Faculty Practice

Harris, Karen

Tantawi, Nada Sherif

Cepeda, Roger Alejandro