Doctor Name: | MS. LINDA A. CAVALLARO |
NPI Number: | 1043427073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.S.W. |
License Number: | 045255-1 |
Business Practice Address: | 35 Longwood Rd Middle Island, NY - 119532045 |
Business Phone Number: | 6319240008 |
Business Fax Number: | 6319244602 |
Mailing Address: | 120 Rocky Point Landing Rd, ROCKY POINT |
State: | NY |
Postal Code: | 117789150 |
Phone Number: | 6317442803 |
Fax Number: | 6319244602 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 045255-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |