# SAL CAVALIERE, DO., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164849329
- **Authorized official:** DR. SALVATORE CAVALIERE D.O. (DR/OWNER)
- **Authorized official phone:** (586) 242-1415

## Contact information

- **Practice address:** 6071 W OUTER DR, SELECT SPECIALITY HOSPITAL, DETROIT, MI 48235-2624
- **Practice address phone:** (313) 966-3300
- **Mailing address:** 4385 BENNETT PARK CIR, TROY, MI 48085-5729
- **Mailing address phone:** (586) 242-1415
- **Mailing address fax:** (586) 725-6842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 5101011226 | MI | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2014
- **Last updated:** 05/11/2017