SearchNew York363A00000X

Frederick Kavanagh, RPA-C

NPI 1346331154 · on the registry since 2006 · sole proprietor

Practice

Address
1869 Brentwood Rd
Brentwood, NY 11717
Phone
(631) 853-3400
Organisation at this address
County Of Suffolk
Sun River Health Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York