Doctor Name: | SUSAN T CAVANAGH |
NPI Number: | 1013054808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P., C.N.M. |
License Number: | 277534-1 |
Business Practice Address: | 1985 Crompond Rd Building B Cortlandt Manor, NY - 105674146 |
Business Phone Number: | 9147391697 |
Business Fax Number: | 9147390973 |
Mailing Address: | 1985 Crompond Rd, CORTLANDT MANOR |
State: | NY |
Postal Code: | 105674146 |
Phone Number: | 9147391697 |
Fax Number: | 9147390973 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0002X |
License Number: | 277534-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Obstetric, High-Risk |
Taxonomy Definition: |