Individual
DR. DANIEL JOSEPH CAVALLO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11 WHITNEY CIR, GLEN COVE, NY 11542-1315
(516) 807-3704
Mailing address
11 WHITNEY CIR, GLEN COVE, NY 11542-1315
(516) 807-3704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274346-125
NY
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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