Provider Demographics
NPI:1912210857
Name:CAVE, CORNELIA (MA MS PD)
Entity Type:Individual
Prefix:MS
First Name:CORNELIA
Middle Name:
Last Name:CAVE
Suffix:
Gender:F
Credentials:MA MS PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 NETHERLAND AVE
Mailing Address - Street 2:APT A32
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2309
Mailing Address - Country:US
Mailing Address - Phone:718-543-0945
Mailing Address - Fax:718-543-4240
Practice Address - Street 1:5410 NETHERLAND AVE
Practice Address - Street 2:APT A32
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2309
Practice Address - Country:US
Practice Address - Phone:718-543-0945
Practice Address - Fax:718-543-4240
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist