Individual
EMILY JOAN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 EASTPORT MANOR RD, EASTPORT, NY 11941-1410
(631) 325-2255
Mailing address
119 HIAWATHA DR, BRIGHTWATERS, NY 11718-1826
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
033219
NY
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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