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NPI Code Detail

MEDICARE: LAURA CAVALCANTE PT

MEDICARE:   LAURA  CAVALCANTE  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist25791NY

General Provider Information

NPI Number : 1275589574
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CAVALCANTE PT
Provider Business Mailing Address
First Line : 90 NORTHERN BLVD
Second Line : UNIT 6
City : GREENVALE
State : NY
Zip : 11548-1213
Country : US
Telephone Number : 516-626-5080
Fax Number : 516-626-5081
Provider Business Practice Location Address
First Line : 90 NORTHERN BLVD
Second Line : UNIT 6
City : GREENVALE
State : NY
Zip : 11548-1213
Country : US
Telephone Number : 516-626-5080
Fax Number : 516-626-5081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/21/2022

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Directions to “ LAURA CAVALCANTE PT” Practice Location

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