Individual
MATTHEW DAVID CANNAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9892
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9892
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
328867
NY
Other
Enumeration date
05/31/2019
Last updated
06/24/2024
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