Provider Demographics
NPI:1871666362
Name:CADET, NORMIL RJ
Entity Type:Individual
Prefix:
First Name:NORMIL
Middle Name:RJ
Last Name:CADET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 E MAIN ST
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-3145
Mailing Address - Country:US
Mailing Address - Phone:631-854-1307
Mailing Address - Fax:
Practice Address - Street 1:SOUHBROOKHAVEN HEALTH CENTER WEST
Practice Address - Street 2:365 EAST MAIN ST
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772
Practice Address - Country:US
Practice Address - Phone:631-854-1307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140886207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology