Individual
DREW CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 E 19TH ST, SUITE 2, NEW YORK, NY 10003-2888
(212) 721-5220
Mailing address
148 GREEN OAK BLVD, MIDDLETOWN, NJ 07748-2111
(732) 614-6251
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
037956-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208311672
—
NY
Enumeration date
09/05/2014
Last updated
09/05/2014
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