# SHALOM KIEVAL MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821316928
- **Authorized official:** SHALOM J. KIEVAL MD (OWNER)
- **Authorized official phone:** (518) 218-1234

## Contact information

- **Practice address:** 13 SUNSET DR., LATHAM, NY 12110
- **Practice address phone:** (518) 218-1234
- **Practice address fax:** (518) 218-1237
- **Mailing address:** 13 SUNSET DR., LATHAM, NY 12110
- **Mailing address phone:** (518) 218-1234
- **Mailing address fax:** (518) 218-1237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2010
- **Last updated:** 08/09/2021