Provider Demographics
NPI:1477130185
Name:CAVALIER, ANTHONY NICHOLAS (PSYD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:NICHOLAS
Last Name:CAVALIER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 89TH ST APT 26E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4305
Mailing Address - Country:US
Mailing Address - Phone:215-932-2935
Mailing Address - Fax:
Practice Address - Street 1:83 MAIDEN LN FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4702
Practice Address - Country:US
Practice Address - Phone:215-932-2935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026003-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical