Individual
DR. MARILYN E KAVULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1061 RT 82, HOPEWELL JCT., NY 12533
(845) 221-1201
(845) 221-0289
Mailing address
46 ALL ANGELS HILL RD., WAPPINGERS FALLS, NY 12590
(845) 298-0008
(845) 221-1201
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X002967
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X002967
NEW YORK STATE LICENSE#
NY
Enumeration date
05/07/2007
Last updated
07/08/2007
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