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
Phone: (212) 663-7458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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