Provider Demographics
NPI:1568819720
Name:CARDONE, PRIYA (DO)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:
Last Name:CARDONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12680 PERRY HWY DEPT OF
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8886
Mailing Address - Country:US
Mailing Address - Phone:412-748-5543
Mailing Address - Fax:
Practice Address - Street 1:12680 PERRY HWY DEPT OF
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8886
Practice Address - Country:US
Practice Address - Phone:412-748-5543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAOS0216692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program