Provider Demographics
NPI:1811983018
Name:KANE, ROLF (MD)
Entity type:Individual
Prefix:DR
First Name:ROLF
Middle Name:
Last Name:KANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10848 70TH RD
Mailing Address - Street 2:2E
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3961
Mailing Address - Country:US
Mailing Address - Phone:718-268-5090
Mailing Address - Fax:718-268-3450
Practice Address - Street 1:10848 70TH RD
Practice Address - Street 2:2E
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3961
Practice Address - Country:US
Practice Address - Phone:718-268-5090
Practice Address - Fax:718-268-3450
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111337207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics