Cavanaugh, Patrick J
Cavanaugh, Patrick J is an individual health care provider with primary practice located at 488 Great Neck Rd Ste 300 , Great Neck NY 11021-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cavanaugh, Patrick J can be contacted via phone (516) 482-6747.Contact Information
Primary practice address
488 Great Neck Rd Ste 300
Great Neck NY 11021-4308
Phone: (516) 482-6747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 197935 | New York |
Profile Details
| NPI number | 1699736983 |
|---|---|
| LBN Legal business name | Cavanaugh, Patrick J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Mar 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699736983 | NPPES |
| New York | Other | P00278892 | MEDICARE RAILROAD |
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