Individual
ISAIRIS MAGALY CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 617-0158
Mailing address
221 EASTVIEW DRIVE, APT 8, CENTAL ISLIP, NY 11722
(210) 708-6157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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