Provider Demographics
NPI:1083420376
Name:PANE, KATE (LCAT -BC)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:PANE
Suffix:
Gender:F
Credentials:LCAT -BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 SUNNYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-2111
Mailing Address - Country:US
Mailing Address - Phone:410-371-6252
Mailing Address - Fax:
Practice Address - Street 1:135 W 26TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6833
Practice Address - Country:US
Practice Address - Phone:410-371-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002681221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty