Provider Demographics
NPI:1710508551
Name:SAVIAN, RENATO REZENDE (MD)
Entity Type:Individual
Prefix:
First Name:RENATO
Middle Name:REZENDE
Last Name:SAVIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131-5 40TH RD QUEENS NY 11354
Mailing Address - Street 2:GRAND 3, UNIT 9L
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:646-906-6752
Mailing Address - Fax:347-379-0614
Practice Address - Street 1:56-45 MAIN ST, QUEENS NY 11355
Practice Address - Street 2:NEW YORK PRESBYTERIAN QUEENS
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-2000
Practice Address - Fax:347-379-0614
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2023-05-10
Deactivation Date:2022-01-11
Deactivation Code:
Reactivation Date:2023-05-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program