Provider Demographics
NPI:1134364045
Name:SAVINO, DOMINICK R (RPA-C)
Entity type:Individual
Prefix:MR
First Name:DOMINICK
Middle Name:R
Last Name:SAVINO
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
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Mailing Address - Street 1:6633 YELLOWSTONE BLVD
Mailing Address - Street 2:APT 1D
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2501
Mailing Address - Country:US
Mailing Address - Phone:631-521-6616
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6368
Practice Address - Fax:212-423-6375
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013043363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical