Jacqueline Cavuoto

Individual provider Active NPI Early Intervention Provider Agency · Somers, NY

NPI 1629626478 · NPPES record last updated Aug 26, 2019

Key facts

NPI
1629626478
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Practice address
96 Mitchell Rd
Somers, NY 10589-1801
Phone
(718) 710-7038
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

96 Mitchell Rd
Somers, NY 10589-1801

Mailing address

96 Mitchell Rd
Somers, NY 10589-1801
Phone (718) 710-7038

Other providers in Somers, NY

All providers in Somers, NY · Early Intervention Provider Agency in New York

Sources for this page

Verify at the official NPI Registry.