Individual provider · Type 1 NPI

Taylor R. Kavanagh, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1497442867 Active

Practice location

630 W 168th St
New York, NY 10032-3725

Mailing address

177 Fort Washington Ave
New York, NY 10032-3733

Other practice locations

  • 177 Fort Washington Ave, New York, NY 10032-3733 · (212) 305-2500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497442867

Taylor R. Kavanagh, MD's National Provider Identifier is 1497442867, issued on Apr 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 18, 2023.