MEDICARE: MR. FRANK J SAVIANO PA-C

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1760971626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK J SAVIANO PA-C

Provider Business Mailing Address
First Line	:	90 BREWERY LN APT 404
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-5289
Country	:	US
Telephone Number	:	516-603-1556
Fax Number	:

Provider Business Practice Location Address
First Line	:	3571 LONG BEACH RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5702
Country	:	US
Telephone Number	:	516-531-6055
Fax Number	:	516-531-6056

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2018
Last Update Date	:	08/11/2020

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