Provider Demographics
NPI:1457634412
Name:CAVERO, PATRICIA (OD)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:CAVERO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LARCH LANE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1120
Mailing Address - Country:US
Mailing Address - Phone:914-834-8792
Mailing Address - Fax:
Practice Address - Street 1:83-19 BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5720
Practice Address - Country:US
Practice Address - Phone:718-271-1782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT006345152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist