Doctor Name: | MRS. CYNTHIA E CAVANAUGH |
NPI Number: | 1154517019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 296622 1 |
Business Practice Address: | 2968 Gulf Rd Manlius, NY - 13104 |
Business Phone Number: | 3156552597 |
Business Fax Number: | |
Mailing Address: | 2968 Gulf Rd, MANLIUS |
State: | NY |
Postal Code: | 13104 |
Phone Number: | 3156552597 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 09/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 296622 1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |