Provider Demographics
NPI:1811398506
Name:KALVAR, PATRICIA (DPM)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:KALVAR
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DONOVAN DR
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11724-2221
Mailing Address - Country:US
Mailing Address - Phone:631-367-9091
Mailing Address - Fax:
Practice Address - Street 1:7 DONOVAN DR
Practice Address - Street 2:
Practice Address - City:COLD SPRING HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11724-2221
Practice Address - Country:US
Practice Address - Phone:631-367-9091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000412213E00000X
NY003834213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist