Individual
MRS. HANIFA M CAVANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
200 N END AVE APT 12D, NEW YORK, NY 10282
(585) 545-0693
Mailing address
200 N END AVE, NEW YORK, NY 10282-1286
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402252-1
NY
Other
Enumeration date
05/01/2017
Last updated
11/05/2018
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