Provider Demographics
NPI:1447084082
Name:KANE, BRIANA M
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:M
Last Name:KANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MONROE ST APT 8
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6574
Mailing Address - Country:US
Mailing Address - Phone:908-902-2556
Mailing Address - Fax:
Practice Address - Street 1:214 N MARTINE AVE
Practice Address - Street 2:
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1337
Practice Address - Country:US
Practice Address - Phone:908-280-0537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional