Healthcare Provider Details

I. General information

NPI: 1972427706
Provider Name (Legal Business Name): EDWIN SAINVIL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 ELIZABETH ST
BALDWIN NY
11510-4716
US

IV. Provider business mailing address

1027 ELIZABETH ST
BALDWIN NY
11510-4716
US

V. Phone/Fax

Practice location:
  • Phone: 917-515-1389
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408971
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: