Provider Demographics
NPI:1962706762
Name:ANNE CHAPMAN KANE PHD PC
Entity type:Organization
Organization Name:ANNE CHAPMAN KANE PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST-PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:CHAPMAN
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-678-7348
Mailing Address - Street 1:119 N PARK AVE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4113
Mailing Address - Country:US
Mailing Address - Phone:516-678-7348
Mailing Address - Fax:
Practice Address - Street 1:119 N PARK AVE
Practice Address - Street 2:SUITE 311
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4113
Practice Address - Country:US
Practice Address - Phone:516-678-7348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007600-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY508771480OtherUNITED BEHAVIORAL HEALTH
NY508771480OtherUNITED BEHAVIORAL HEALTH