Individual
DR. SHALOM JOSHUA KIEVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 GREAT OAKS BLVD, ALBANY, NY 12203-5964
(518) 218-1234
Mailing address
13 SUNSET DR, LATHAM, NY 12110-2103
(518) 218-1234
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
172224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01045665
—
NY
Enumeration date
09/26/2006
Last updated
11/30/2016
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