Individual provider · NPI-1

Dr. Daniel Joseph Cavallo III, DO

Family Medicine · Glen Cove, NY

NPI number1609003417
StatusActive
Last updated in NPPESJun 18, 2009

Details

NPI
1609003417
Entity type
Individual (NPI-1)
Name
Dr. Daniel Joseph Cavallo III
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 18, 2009
Last updated
Jun 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine274346-125NYYes

Practice location

11 Whitney Cir
Glen Cove, NY 11542-1315

Phone 516-807-3704

Mailing address

11 Whitney Cir
Glen Cove, NY 11542-1315

Phone 516-807-3704

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