Provider Demographics
NPI:1780476929
Name:CARDONE, MICHELLE ALESSIA (PSYD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ALESSIA
Last Name:CARDONE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6965 YELLOWSTONE BLVD APT 302
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2015
Mailing Address - Country:US
Mailing Address - Phone:631-466-7281
Mailing Address - Fax:
Practice Address - Street 1:100 MERRICK RD STE 106E
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4801
Practice Address - Country:US
Practice Address - Phone:516-696-8401
Practice Address - Fax:929-822-4061
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027231103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist