Cavanagh, James P.

Cavanagh, James P. is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cavanagh, James P. can be contacted via phone (631) 474-6205.

Contact Information

Primary practice address
200 Belle Terre Rd Port Jefferson NY 11777-1928
Phone: (631) 474-6205
Fax: (631) 476-5602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 210488-1 New York

Profile Details

NPI number 1376540484
LBN Legal business name Cavanagh, James P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 31st, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376540484 NPPES
New York MEDICAID 01870300

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