Healthcare Provider Details

I. General information

NPI: 1073502001
Provider Name (Legal Business Name): HERBERT SAVEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7594 COURT ST
ELIZABETHTOWN NY
12932
US

IV. Provider business mailing address

PO BOX 67
ELIZABETHTOWN NY
12932-0067
US

V. Phone/Fax

Practice location:
  • Phone: 518-873-2221
  • Fax:
Mailing address:
  • Phone: 518-873-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number082735
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: