Roseann Cavallaro, DDS
Individual provider Active NPI General Practice Dentistry · Greenlawn, NY
NPI 1043428550 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043428550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 043963 (NY)
- Practice address
- 16 Ann St
Greenlawn, NY 11740 - Phone
- (631) 757-2383
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043963 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 043963 | NY | Yes |
Addresses
Primary practice location
16 Ann St
Greenlawn, NY 11740
Mailing address
16 Ann St
Greenlawn, NY 11740-1201
Phone (631) 757-2383
Other providers in Greenlawn, NY
- Carol Joan Calev
- Frank Campise
- Tyler David Cappello
- Anna Carpentieri
- Cecilia Griffin Cassidy
- Casey Chambers
- Ann Marie Champney
- Colin Key Chen
- Bonnie Ergas Cheskes
- Stella Chin
All providers in Greenlawn, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.