Provider Demographics
NPI:1295334092
Name:CAVALIERE, ROSEMARIA (MA)
Entity type:Individual
Prefix:
First Name:ROSEMARIA
Middle Name:
Last Name:CAVALIERE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ROSEMARIA
Other - Middle Name:
Other - Last Name:BOIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:321 TOMPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3717
Mailing Address - Country:US
Mailing Address - Phone:917-692-3708
Mailing Address - Fax:
Practice Address - Street 1:7649 HEWLETT ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1429
Practice Address - Country:US
Practice Address - Phone:212-388-1903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities