Provider Demographics
NPI:1891002861
Name:PASQUALINA, CARA ELIZABETH (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:ELIZABETH
Last Name:PASQUALINA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 EVELYN RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3239
Mailing Address - Country:US
Mailing Address - Phone:516-833-7035
Mailing Address - Fax:
Practice Address - Street 1:257 EVELYN RD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3239
Practice Address - Country:US
Practice Address - Phone:516-833-7035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02034012251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics