=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750563110
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIELLE N.B. KAUVAR, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2007
-----------------------------------------------------
Last Update Date | 01/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1044 5TH AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10028-0108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-249-9440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1044 5TH AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10028-0108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-249-9440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ARIELLE N.B. KAUVAR
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 212-249-9440
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207N00000X
-----------------------------------------------------
Taxonomy Name | Dermatology Physician
-----------------------------------------------------
License Number | 182825
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------