Individual provider · Type 1 NPI

Emily Joan Cavanaugh

Medical Physician Assistant · Eastport, NY

NPI number 1679378475 Active

Practice location

21 Eastport Manor Rd
Eastport, NY 11941-1410

Call (631) 325-2255 Map

Mailing address

119 Hiawatha Dr
Brightwaters, NY 11718-1826

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X033219 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1679378475

Emily Joan Cavanaugh's National Provider Identifier is 1679378475, issued on Feb 17, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Eastport, NY. The record was last updated on Feb 17, 2025.