Organization
HUDSON VALLEY EMERGENCY PHYSICIAN SERVICES, PC
Active
Other names
Tri-State Emergency Physicians, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN JOSEPH CAVANAUGH PA-C (PHYSICIAN ASSISTANT)
(703) 973-2320
Entity
Organization
Contact information
Practice address
484 TEMPLE HILL RD, SUITE 102, NEW WINDSOR, NY 12553-5557
(803) 774-9115
Mailing address
1005 ALICE DR, APT 111, SUMTER, SC 29150-2445
(703) 973-2320
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
011833
NY
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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