Individual
JOHN TERENCE CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT MED ATC SCS
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4898
(212) 606-1005
(212) 774-2089
Mailing address
150 BURNS AVE, HICKSVILLE, NY 11801-1132
(917) 375-2897
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
04/13/2021
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