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
Phone: (315) 624-6467
Fax: (315) 624-6469
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518168152 | NPPES |
| New York | MEDICAID | 02955308 |
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