Provider Demographics
NPI:1366876013
Name:CAVALIERI, JAMIE CHRISTIAN (MASTERS IN EDUCATION)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:CHRISTIAN
Last Name:CAVALIERI
Suffix:
Gender:F
Credentials:MASTERS IN EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 HOLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-4118
Mailing Address - Country:US
Mailing Address - Phone:631-648-8676
Mailing Address - Fax:
Practice Address - Street 1:97 HOLBROOK RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-4118
Practice Address - Country:US
Practice Address - Phone:631-648-8676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist