Cavuoto Petrizzo, Marie
Cavuoto Petrizzo, Marie is an sole proprietor health care provider with primary practice located at 865 Northern Blvd Ste 101 , Great Neck NY 11021-5310. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Cavuoto Petrizzo, Marie can be contacted via phone (516) 622-5070.Contact Information
Primary practice address
865 Northern Blvd Ste 101
Great Neck NY 11021-5310
Phone: (516) 622-5070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 223738 | New York |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 223738 | New York |
Profile Details
| NPI number | 1326132473 |
|---|---|
| LBN Legal business name | Cavuoto Petrizzo, Marie |
| Credentials | MD, MSED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Apr 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326132473 | NPPES |
| New York | MEDICAID | 02684022 |
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