Individual
MS. MARTHA ANNE CAVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
722 W 168TH ST, SUITE 820, NEW YORK, NY 10032-3727
(866) 463-2778
Mailing address
620 W END AVE, APT 4 B, NEW YORK, NY 10024-1037
(617) 957-4231
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382276-1
NY
363LW0102X
Women's Health Nurse Practitioner
5637831
NY
Other
Enumeration date
06/05/2007
Last updated
08/05/2013
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