Individual
DR. KENNETH LEE CACCAVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 JANE ST, SUITE #1E, NEW YORK, NY 10014-5106
(212) 243-9085
(212) 243-9085
Mailing address
39 JANE ST, SUITE #1E, NEW YORK, NY 10014-5106
(212) 243-9085
(212) 243-9085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
116401-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00215518
—
NY
Enumeration date
08/20/2007
Last updated
08/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us