Individual
MRS. ALANNA ELIZABETH KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 E 61ST ST, NEW YORK, NY 10065
(646) 962-2333
Mailing address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 592-4915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04824700
—
NY
Enumeration date
03/09/2017
Last updated
08/16/2019
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