Individual
SUSAN T CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P., C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
277534-1
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360158-1
NY
367A00000X
Advanced Practice Midwife
Primary
F000117-1
NY
Other
Enumeration date
01/31/2007
Last updated
07/03/2013
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