Provider Demographics
NPI:1134676158
Name:CAVALIERE, RACHEL NICOLE (MS)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:NICOLE
Last Name:CAVALIERE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CROSS RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6141
Mailing Address - Country:US
Mailing Address - Phone:914-382-6286
Mailing Address - Fax:
Practice Address - Street 1:1154 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-3210
Practice Address - Country:US
Practice Address - Phone:914-968-4854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025770235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist