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NPI Code Detail

MEDICARE: DR. SALVATORE PRAINITO DO

MEDICARE: DR. SALVATORE PRAINITO DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician199978NY

General Provider Information

NPI Number : 1124013529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATORE PRAINITO DO
Provider Business Mailing Address
First Line : 584 FOREST AVE STE 2
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-2512
Country : US
Telephone Number : 718-447-8867
Fax Number : 718-447-6544
Provider Business Practice Location Address
First Line : 584 FOREST AVE STE 2
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-2512
Country : US
Telephone Number : 718-447-8867
Fax Number : 718-447-6544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 12/02/2025

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Directions to “ DR. SALVATORE PRAINITO DO” Practice Location

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