Cavanna, Angela C

Cavanna, Angela C is an individual health care provider with primary practice located at 17 Glenn Pond Road Suite 3, Red Hook NY 12571-1824. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cavanna, Angela C can be contacted via phone (845) 758-6046.

Contact Information

Primary practice address
17 Glenn Pond Road Suite 3 Red Hook NY 12571-1824
Phone: (845) 758-6046
Fax: (845) 758-6051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 187748 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 187748 New York

Profile Details

NPI number 1063407989
LBN Legal business name Cavanna, Angela C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Aug 29th, 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 1063407989 NPPES
New York MEDICAID 01635890

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