Kavanaugh, Matthew Maddalena

Kavanaugh, Matthew Maddalena is an sole proprietor health care provider with primary practice located at 333 Route 25A Suite 240, Rocky Point NY 11778-8556. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kavanaugh, Matthew Maddalena can be contacted via phone (631) 821-5500.

Contact Information

Primary practice address
333 Route 25A Suite 240 Rocky Point NY 11778-8556
Phone: (631) 821-5500
Fax: (631) 821-5580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022895 New York

Profile Details

NPI number 1003958174
LBN Legal business name Kavanaugh, Matthew Maddalena
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 18 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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