Kalil, Marissa

Kalil, Marissa is an individual health care provider with primary practice located at 1656 Champlin Ave Hospitalist Program, Utica NY 13502-4830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kalil, Marissa can be contacted via phone (315) 624-6467.

Contact Information

Primary practice address
1656 Champlin Ave Hospitalist Program Utica NY 13502-4830
Fax: (315) 624-6469
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 244545 New York

Profile Details

NPI number 1518168152
LBN Legal business name Kalil, Marissa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Oct 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518168152 NPPES
New York MEDICAID 02955308

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