Kavanaugh, Michelle Maria

Kavanaugh, Michelle Maria is an sole proprietor health care provider with primary practice located at 3505 Watson Blvd , Endwell NY 13760. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Kavanaugh, Michelle Maria can be contacted via phone (607) 321-8333.

Contact Information

Primary practice address
3505 Watson Blvd Endwell NY 13760
Phone: (607) 321-8333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 009727 New York

Profile Details

NPI number 1295231405
LBN Legal business name Kavanaugh, Michelle Maria
Credentials OPHTHALMIC DISPENSER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2018
Last updated Apr 5th, 2018 - about 6 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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