Provider Demographics
NPI:1942699731
Name:BIONDO, CARA (MA, PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:
Last Name:BIONDO
Suffix:
Gender:F
Credentials:MA, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 SUNRISE HWY
Mailing Address - Street 2:SUITE 1-384
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4912
Mailing Address - Country:US
Mailing Address - Phone:516-578-5409
Mailing Address - Fax:
Practice Address - Street 1:265 SUNRISE HWY
Practice Address - Street 2:SUITE 1-384
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4912
Practice Address - Country:US
Practice Address - Phone:516-578-5409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020968-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist