Individual
PATRICIA KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 COURT STREET, SUITE 907, BROOKLYN, NY 11201-4413
(718) 403-9255
(718) 403-9855
Mailing address
44 COURT STREET, SUITE 907, BROOKLYN, NY 11201-4413
(718) 403-9255
(718) 403-9855
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
219192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02637007
—
NY
Enumeration date
10/23/2006
Last updated
06/02/2015
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