Doctor Name: | DR. MYLES SAVITT |
NPI Number: | 1396723649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 2298 |
Business Practice Address: | 388 Hawkins Ave Lake Ronkonkoma, NY - 117794280 |
Business Phone Number: | 6315850045 |
Business Fax Number: | 6315857860 |
Mailing Address: | 388 Hawkins Ave, LAKE RONKONKOMA |
State: | NY |
Postal Code: | 117794280 |
Phone Number: | 6315850045 |
Fax Number: | 6315857860 |
NPI Enumeration Date: | 01/06/2006 |
NPI Last Update Date: | 06/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 2298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |