Provider Demographics
NPI:1346316775
Name:CARNAVAL, ELIZABETH MARIE (LCAT, ATR-BC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:CARNAVAL
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:MARIE
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCAT, ATR
Mailing Address - Street 1:21 NORCROSS ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1926
Mailing Address - Country:US
Mailing Address - Phone:347-534-6671
Mailing Address - Fax:
Practice Address - Street 1:950 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2927
Practice Address - Country:US
Practice Address - Phone:347-534-6671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000141221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist