Provider Demographics
NPI:1225088339
Name:CAVALIERE, SALVATORE (DO)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:
Last Name:CAVALIERE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4385 BENNETT PARK CIR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-5729
Mailing Address - Country:US
Mailing Address - Phone:586-242-1415
Mailing Address - Fax:586-725-6842
Practice Address - Street 1:6071 W OUTER DRIVE 7/EAST
Practice Address - Street 2:SELECT SPECIALITY HOSPITAL
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2624
Practice Address - Country:US
Practice Address - Phone:313-966-3300
Practice Address - Fax:248-651-5053
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISC011226207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P29850Medicare ID - Type Unspecified
MIF94345Medicare UPIN