Individual
ANDREA BETH CAVALUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-5696
(607) 733-2713
Mailing address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-5696
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
477457
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405026
NY
Other
Enumeration date
11/15/2019
Last updated
06/22/2023
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