Most Relevant Information
Provider Data
| NPI Number: | 1003469107 |
| Provider Name: | MONICA MERCEDES CAVANAGH |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2019 |
| Last Updated: | 07/18/2019 |
Provider Practice Location
2148 OCEAN AVE STE 302
BROOKLYN
NY
112291484
Practice Location Phone/Fax
| Phone: | 7183752505 |
| Fax: |
Provider Mailing Location
2148 OCEAN AVE STE 302
BROOKLYN
NY
112291484
Provider Mailing Phone/Fax
| Phone: | 7183752505 |
| Fax: |