Provider Demographics
NPI:1295191153
Name:D'ACCORDO, CASSANDRA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:ANN
Last Name:D'ACCORDO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1941
Mailing Address - Country:US
Mailing Address - Phone:631-875-7107
Mailing Address - Fax:
Practice Address - Street 1:755 PARK AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3975
Practice Address - Country:US
Practice Address - Phone:646-450-4540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021241-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical