Provider Demographics
NPI:1750563110
Name:ARIELLE N.B. KAUVAR, M.D., P.C.
Entity type:Organization
Organization Name:ARIELLE N.B. KAUVAR, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIELLE
Authorized Official - Middle Name:NB
Authorized Official - Last Name:KAUVAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-249-9440
Mailing Address - Street 1:1044 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0108
Mailing Address - Country:US
Mailing Address - Phone:212-249-9440
Mailing Address - Fax:
Practice Address - Street 1:1044 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0108
Practice Address - Country:US
Practice Address - Phone:212-249-9440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182825207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWLP811Medicare PIN