Provider Demographics
NPI:1689109720
Name:PINTO, STEVEN VINAY (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:VINAY
Last Name:PINTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:VINAY
Other - Last Name:PINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:191 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895
Mailing Address - Country:US
Mailing Address - Phone:607-478-8421
Mailing Address - Fax:
Practice Address - Street 1:20 MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NY
Practice Address - Zip Code:14806-9303
Practice Address - Country:US
Practice Address - Phone:607-478-8421
Practice Address - Fax:607-478-8886
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2022-10-18
Deactivation Date:2017-11-27
Deactivation Code:
Reactivation Date:2018-07-10
Provider Licenses
StateLicense IDTaxonomies
NY312565207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07030404Medicaid