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1821281288
KENNETH LEE CACCAVALE
NEW YORK, NY
NPI
1821281288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 116401-1)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
Dr. KENNETH LEE CACCAVALE M.D.
39 JANE ST SUITE #1E
NEW YORK, NY 10014-5106
Phone number: 212-243-9085
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Mailing Address
Dr. KENNETH LEE CACCAVALE M.D.
39 JANE ST SUITE #1E
NEW YORK, NY 10014-5106
Phone number: 212-243-9085
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