Individual
DR. LISA A CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 EXPRESSWAY PLAZA, SUITE 115, ROSLYN HEIGHTS, NY 11577
(516) 759-1131
(516) 676-5727
Mailing address
1 EXPRESSWAY PLAZA, SUITE 115, ROSLYN HEIGHTS, NY 11577
(516) 759-1131
(516) 676-5727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01841478
—
NY
Enumeration date
06/08/2006
Last updated
02/13/2019
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