Individual
MR. JOHN A CAVAGNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4295 HEMPSTEAD TURNPIKE, CRITICAL CARE MEDICNE, BETHPAGE, NY 11714
(516) 579-6000
Mailing address
4295 HEMPSTEAD TURNPIKE, DEPARTMENT CRITICAL CARE MEDICINE, BETHPAGE, NY 11714
(516) 520-2387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011726
NY
363AS0400X
Surgical Physician Assistant
011726
NY
Other
Enumeration date
02/21/2007
Last updated
02/06/2022
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