Angela C Cavanna in Red Hook - Sports Medicine
Angela C Cavanna - NPI 1063407989
Angela C Cavanna is a Sports Medicine in Red Hook, New York. Angela C Cavanna practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Angela C Cavanna is 1063407989. The last update date is 2012-08-29.
Angela C Cavanna's current location address is 17 Glenn Pond Road, Red Hook, New York. You can contact this provider via phone number 8457586046 and fax number 8457586051. The mailing address for Angela C Cavanna is 17 Glenn Pond Road, Red Hook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela C Cavanna |
|---|---|
| Address | 17 Glenn Pond Road, Red Hook, New York |
| Phone Number | 8457586046 |
| Fax Number | 8457586051 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1063407989 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2012-08-29 |
Provider Mailing Address Detail
| Address | 17 Glenn Pond Road |
|---|---|
| City | Red Hook |
| State | New York (NY) |
| Post Code | 125711824 |
| Phone Number | 8457586046 |
| Fax Number | 8457586051 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 187748 |
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Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1635890 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Angela C Cavanna by the Centers for Medicare & Medicaid Services?
The Angela C Cavanna has been assigned the NPI (National Provider Identifier) 1063407989. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Angela C Cavanna?
The Angela C Cavanna is situated at 17 Glenn Pond Road, in the city of Red Hook, state of NY, with the zip code 125711824.
What is the Angela C Cavanna's area of specialization and corresponding taxonomy classification?
The Angela C Cavanna's specialty field is Sports Medicine, and it falls under the taxonomy code 207Rs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Angela C Cavanna receive the assignment of its 1063407989 from the Centers for Medicare & Medicaid Services?
The Angela C Cavanna was issued its 1063407989 by the Centers for Medicare & Medicaid Services on 2005-09-16.
When was the information related to Angela C Cavanna most recently updated or refreshed?
The details pertaining to the Angela C Cavanna, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-08-29.