MR. Tim D Cavenee
NPI #1770948960 in Morrisonville, New York
Provider Information
- NPI Number
- 1770948960
- Entity Type
- Individual
- Name
- MR. Tim D Cavenee
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 15, 2015
- Last Updated
- Dec 15, 2015
Practice Location
- Address
- 2155 ST RT 22B
- City
- Morrisonville
- State
- New York
- ZIP Code
- 12962-3417
- Phone
- (518) 563-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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