Provider Demographics
NPI:1902032394
Name:CARDINALE, MARIE KATHLEEN (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:KATHLEEN
Last Name:CARDINALE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16640 POWELLS COVE BLVD
Mailing Address - Street 2:APARTMENT 2A
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1547
Mailing Address - Country:US
Mailing Address - Phone:914-450-7202
Mailing Address - Fax:
Practice Address - Street 1:82 SCOFIELDTOWN RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-4020
Practice Address - Country:US
Practice Address - Phone:203-977-4474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-31
Last Update Date:2009-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003247235Z00000X
NY012545-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist