Cavagnaro, Carly

Cavagnaro, Carly is an individual health care provider with primary practice located at 185 W Poplar St , Floral Park NY 11001-3311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cavagnaro, Carly can be contacted via phone (201) 317-1032.

Contact Information

Primary practice address
185 W Poplar St Floral Park NY 11001-3311
Phone: (201) 317-1032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1457912172
LBN Legal business name Cavagnaro, Carly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457912172 NPPES
Other 1164631 NCCPA

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