Individual
DR. EILEEN PATRICIA KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPA
Contact information
Practice address
177 FORT WASHINGTON AVE, NINE GARDEN NORTH, NEW YORK, NY 10032-3733
(212) 305-6063
Mailing address
404 RIVERSIDE DR # 2C, NEW YORK, NY 10025-1861
(212) 316-6650
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
233632
NY
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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