Provider Demographics
NPI:1306906615
Name:SAVITZ, ADAM JONATHAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JONATHAN
Last Name:SAVITZ
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21 BLOOMINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1504
Mailing Address - Country:US
Mailing Address - Phone:914-997-4394
Mailing Address - Fax:914-682-6906
Practice Address - Street 1:21 BLOOMINGDALE RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1504
Practice Address - Country:US
Practice Address - Phone:914-997-4394
Practice Address - Fax:914-682-6906
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2219442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY074BS1Medicare PIN
G69534Medicare UPIN