Provider Demographics
NPI:1245954874
Name:CAVALIERI, BIANCA ELIZABETH (MA,CCC-SLP-CDP)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:ELIZABETH
Last Name:CAVALIERI
Suffix:
Gender:F
Credentials:MA,CCC-SLP-CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 JOSHUA DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-7109
Mailing Address - Country:US
Mailing Address - Phone:914-479-9313
Mailing Address - Fax:
Practice Address - Street 1:537 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-5501
Practice Address - Country:US
Practice Address - Phone:914-423-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14309322235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist