Individual
MICHELE RICCARDO CAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
030512
NY
Other
Enumeration date
05/16/2023
Last updated
09/08/2023
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