Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 286906 | NY |
NPI | 1447697784 |
---|---|
Provider Name | Dr. Catherine Rose Kavanagh |
First Address | New York, NY 10032-1559 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 05/06/2020 |