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Organization
DR ELISA KAVANAGH DPM PC
Active
Organization
DR ELISA KAVANAGH DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA M KAVANAGH DPM (OWNER)
(914) 472-1000
Entity
Organization
Contact information
Practice address
440 MAMARONECK AVE STE 502, HARRISON, NY 10528-2433
(914) 472-1000
(914) 472-1008
Mailing address
440 MAMARONECK AVE STE 502, HARRISON, NY 10528-2433
(914) 472-1000
(914) 472-1008
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
08/01/2022
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