Cavanaugh, Lisa A

Cavanaugh, Lisa A is an sole proprietor health care provider with primary practice located at 1 Expressway Plaza, Suite 115 , Roslyn Heights NY 11577. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cavanaugh, Lisa A can be contacted via phone (516) 759-1131.

Contact Information

Primary practice address
1 Expressway Plaza, Suite 115 Roslyn Heights NY 11577
Phone: (516) 759-1131
Fax: (516) 676-5727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 201939 New York

Profile Details

NPI number 1619918208
LBN Legal business name Cavanaugh, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Feb 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619918208 NPPES
New York MEDICAID 01841478

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