Individual
DR. ANGELA C CAVANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
17 GLENN POND ROAD, SUITE 3, RED HOOK, NY 12571-1824
(845) 758-6046
(845) 758-6051
Mailing address
17 GLENN POND ROAD, SUITE 3, RED HOOK, NY 12571-1824
(845) 758-6046
(845) 758-6051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187748
NY
207RS0010X
Sports Medicine (Internal Medicine) Physician
187748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01635890
—
NY
Enumeration date
09/16/2005
Last updated
08/29/2012
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