Cavagnaro, Carly
Cavagnaro, Carly is an individual health care provider with primary practice located at 185 W Poplar St , Floral Park NY 11001-3311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cavagnaro, Carly can be contacted via phone (201) 317-1032.Contact Information
Primary practice address
185 W Poplar St
Floral Park NY 11001-3311
Phone: (201) 317-1032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1457912172 |
|---|---|
| LBN Legal business name | Cavagnaro, Carly |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2019 |
| Last updated | Jun 24th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457912172 | NPPES |
| Other | 1164631 | NCCPA |
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