Provider Demographics
NPI:1598861064
Name:SAAVEDRA, LUISA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LUISA
Middle Name:M
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:216 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4541
Mailing Address - Country:US
Mailing Address - Phone:914-690-0333
Mailing Address - Fax:914-690-0444
Practice Address - Street 1:216 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4541
Practice Address - Country:US
Practice Address - Phone:914-690-0333
Practice Address - Fax:914-690-0444
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2017-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY173770207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY78F801Medicare PIN