Kseniya Kavanagh
NPI #1194449322 in Lindenhurst, New York
Provider Information
- NPI Number
- 1194449322
- Entity Type
- Individual
- Name
- Kseniya Kavanagh
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 30, 2022
- Last Updated
- Sep 18, 2023
Practice Location
- Address
- 16 GROVE ST
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-5720
- Phone
- (516) 557-7118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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