Lisa A. Cavanaugh, M.d., P.c.

NPI 1265461412 - Pediatrics - 208000000X

NPI Details
NPI 1265461412
Enumeration Date 07/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LISA ANNE LISA
Position CEO / MEDICIAL DIRECTOR
Phone (516) 759-1131
Fax (516) 676-5727
Practice Location
77 GLENWOOD RD
GLEN HEAD NY, 11545-1221, US
Phone (516) 759-1131
Fax (516) 676-5727
Business Location
77 GLENWOOD RD
GLEN HEAD NY, 11545-1221, US
Phone (516) 759-1131
Fax (516) 676-5727
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 201939-1
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According to our database, Lisa A. Cavanaugh, M.d., P.c. NPI is 1265461412, taxonomy code is 208000000X and license number is 201939-1, license state is located at New York. Lisa A. Cavanaugh, M.d., P.c. physically located at 77 Glenwood Rd, Glen Head NY, 11545-1221. NPI Number 1033115704 has the healthcare provider type.

1265461412 NPI number is provided on an as is basis without warranty of any kind. 1265461412 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A. Cavanaugh, M.d., P.c. are for informational purposes only.