Kavanaugh, John

Kavanaugh, John is an sole proprietor health care provider with primary practice located at 404 Riverside Dr Apt 11A , New York NY 10025-1861. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kavanaugh, John can be contacted via phone (212) 663-7458.

Contact Information

Primary practice address
404 Riverside Dr Apt 11A New York NY 10025-1861
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X R014353-1 New York

Profile Details

NPI number 1851425516
LBN Legal business name Kavanaugh, John
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Oct 20th, 2011 - about 13 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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