Provider Demographics
NPI:1831428200
Name:CAVALIERE, LUCIANA MARIA (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LUCIANA
Middle Name:MARIA
Last Name:CAVALIERE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16015 POWELLS COVE BLVD
Mailing Address - Street 2:APT. C306
Mailing Address - City:BEECHHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1355
Mailing Address - Country:US
Mailing Address - Phone:917-536-8190
Mailing Address - Fax:
Practice Address - Street 1:16015 POWELLS COVE BLVD
Practice Address - Street 2:APT. C306
Practice Address - City:BEECHHURST
Practice Address - State:NY
Practice Address - Zip Code:11357-1355
Practice Address - Country:US
Practice Address - Phone:917-536-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist