Provider Demographics
NPI:1629342761
Name:DOUGLAS B SAVINO MD PC
Entity Type:Organization
Organization Name:DOUGLAS B SAVINO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAVINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-619-8356
Mailing Address - Street 1:1 PONDFIELD RD W
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2666
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 PONDFIELD RD W
Practice Address - Street 2:SUITE 7
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2666
Practice Address - Country:US
Practice Address - Phone:914-771-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182642173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty