Provider Demographics
NPI:1033199724
Name:SAVINO, LEONARD P (DO)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:P
Last Name:SAVINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-5912
Mailing Address - Country:US
Mailing Address - Phone:631-422-3377
Mailing Address - Fax:631-422-3382
Practice Address - Street 1:373 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-5912
Practice Address - Country:US
Practice Address - Phone:631-422-3377
Practice Address - Fax:631-422-3382
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1777511207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE48887Medicare UPIN