Cavanaugh, Robert

Cavanaugh, Robert is an individual health care provider with primary practice located at 90 Presidential Plz 3Rd Floor, Syracuse NY 13202-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cavanaugh, Robert can be contacted via phone (315) 464-4357.

Contact Information

Primary practice address
90 Presidential Plz 3Rd Floor Syracuse NY 13202-2240
Phone: (315) 464-4357
Fax: (315) 464-2030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 147344 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 147344 New York

Profile Details

NPI number 1437179009
LBN Legal business name Cavanaugh, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 14th, 2012 - about 12 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 1437179009 NPPES
New York MEDICAID 00578469

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