Healthcare Provider Details

I. General information

NPI: 1629342761
Provider Name (Legal Business Name): DOUGLAS B SAVINO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2012
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PONDFIELD RD W SUITE 7
BRONXVILLE NY
10708-2666
US

IV. Provider business mailing address

1 PONDFIELD RD W SUITE 7
BRONXVILLE NY
10708-2666
US

V. Phone/Fax

Practice location:
  • Phone: 914-771-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number182642
License Number StateNY

VIII. Authorized Official

Name: DOUGLAS B SAVINO
Title or Position: MD
Credential:
Phone: 914-619-8356