Organization
CAVALLO & HORLICK, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KEITH CAVALLO MD (PARTNER)
(631) 732-9090
Entity
Organization
Contact information
Practice address
325 MIDDLE COUNTRY RD, SELDEN, NY 11784-2545
(631) 732-9090
(631) 732-8235
Mailing address
325 MIDDLE COUNTRY RD, SELDEN, NY 11784-2545
(631) 732-9090
(631) 732-8235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669585089
INDIVIDUAL NPI
NY
01
—
1932212354
INDIVIDUAL DR NPI
NY
Enumeration date
05/15/2007
Last updated
10/31/2007
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