CARLY CAVAGNARO


Address: 185 W Poplar St, Floral Park, NY 11001-3311
Phone: 2013171032

CARLY CAVAGNARO (NPI# 1457912172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457912172
Entity Type Individual
Full Name CARLY CAVAGNARO
Credential PA-C
Practice Address 185 W Poplar St
Floral Park
NY 11001-3311
Practice Telephone 2013171032
Mailing Telephone 2013171032
Enumeration Date 2019-06-24
Last Update Date 2019-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCCPA 1164631 01

Office Location

Street Address 185 W POPLAR ST
City FLORAL PARK
State NY
Zip Code 11001-3311

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NPI Name Taxonomy Address Enumeration
1497373104 Justin Wooley Nurse Anesthetist, Certified Registered 11520 Base Naval, Cadiz, ANDALUCIA 11001 2020-07-09
1912429374 Runicka Singh Counselor 258-20 86th Ave, Floral Park, NY 11001 2017-07-07
1104346345 Alliance Medical Solutions, Inc. Spec/Tech, Health Info 275 Jericho Tpke Ste 202, Floral Park, NY 11001 2017-06-20
1700311982 Marilyn K Esthappan Dentist 24828 Jericho Tpke, Floral Park, NY 11001 2017-04-26
1457883183 Gaukhar Omargaliyeva Case Manager/Care Coordinator 249-02 Jericho Turnpike, Suite 207, Floral Park, NY 11001 2017-03-31
1891161022 Angela Murphy Speech-Language Pathologist 176 Aspen St., Floral Park, NY 11001 2015-08-11
1225452428 Dennise Laboy Social Worker 11-43 47th Avenue, Long Island City, NY 11001 2014-02-07
1811250434 Andrea Dilorenzo Specialist 91 Sprue Avenue, Floral Park, NY 11001 2012-06-19
1558632760 Elaine Rachel Arnold Speech-Language Pathologist 500 Tulip Avenue, Floral Park, NY 11001 2012-01-19
1639446859 Maureen Vetter Vetter-russell Social Worker 184 Aspen Street, Floral Park, NY 11001 2011-11-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528675089 Shanaz Husein Physician Assistant 51 Mckee St, Floral Park, NY 11001-1615 2020-09-29
1467094615 Mariah Noor Physician Assistant 8356 264th St, Floral Park, NY 11004-1714 2019-10-09
1003284811 Kelsey Lutchman Physician Assistant 8030 Little Neck Pkwy, Floral Park, NY 11004-1218 2015-09-10
1851773808 Michael Rachwalski Physician Assistant 21 Hanover St, Floral Park, NY 11001-2927 2015-06-26
1851783401 Shamshad Fatima Sial Physician Assistant 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 2015-02-19
1861803462 Manpreet Dhillon Physician Assistant 25510 87th Ter, Floral Park, NY 11001-1404 2014-05-16
1982955233 Jennifer Christine Regan Physician Assistant 47 Willow St, Floral Park, NY 11001-3407 2012-09-26
1336437540 Anjanie R Sakhichand Physician Assistant 8791 257th St, Floral Park, NY 11001-1415 2011-07-21
1528362936 Mary Ann Mcgrade Physician Assistant 25 Martha Ter, Floral Park, NY 11001-2102 2010-12-28
1255505897 Peter Thomas Varghese Physician Assistant 256-05 83rd Avenue, Floral Park, NY 11004 2008-04-15
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City FLORAL PARK
Zip Code 11001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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