Individual
DR. MARK D KAVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 MERRICK AVE, MERRICK, NY 11566-2722
(516) 378-3440
Mailing address
305 MERRICK AVE, MERRICK, NY 11566-2722
(516) 378-3440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037090
GHI
NY
01
—
P399375
OXFORD
NY
Enumeration date
06/27/2006
Last updated
10/23/2007
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