Individual
MISS GINA MARIE KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
239 E 84TH ST APT 5E, NEW YORK, NY 10028-2958
(201) 230-7006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ01073300
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
431320
NY
Other
Enumeration date
07/02/2018
Last updated
03/30/2022
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