Provider Demographics
NPI:1306911417
Name:SAVINO, BARTHOLOMEW FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:BARTHOLOMEW
Middle Name:FRANCIS
Last Name:SAVINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 RALPH PL STE 214
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-4424
Mailing Address - Country:US
Mailing Address - Phone:718-727-1898
Mailing Address - Fax:718-727-8238
Practice Address - Street 1:11 RALPH PL
Practice Address - Street 2:SUITE 214
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-4419
Practice Address - Country:US
Practice Address - Phone:718-727-1898
Practice Address - Fax:718-727-8238
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206734207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G57162Medicare UPIN
NY786431Medicare PIN