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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW MADDALENA KAVANAUGH, PT

Active Sole Proprietor

MR. MATTHEW MADDALENA KAVANAUGH, PT is a Physical Therapy Assistant healthcare provider located in ROCKY POINT, New York. NPI 1003958174 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ROCKY POINT, NY

Registration Details

NPI Number
1003958174
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2007 (19.503605495989 yrs)
Last Updated
Jul 8, 2007
License
022895 (NY)
Sole Proprietor
Yes

Practice Information

Address
333 ROUTE 25A
SUITE 240
ROCKY POINT, NY, 117788556
Browse NY providers · Browse ZIP 11778
Phone
6318215500
Fax
6318215580
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ROCKY POINT, NY

Name Credential NPI
MS. NATALIE LOUISE THOMPSON PT 1104900760
DR. DAVID STERN PT 1427118009
MISS MARYJO KALEDA PT 1942424379
MICHELE LYNN GILARDI PT 1780805440
CAROLYN MICHELITSCH 1104331024
DR. RICHARD JOHN PISACONE DPT 1093351819
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.