Provider Demographics
NPI:1306951736
Name:SALADINO, PAUL I (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:I
Last Name:SALADINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:407 GIDNEY AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3741
Mailing Address - Country:US
Mailing Address - Phone:845-561-7075
Mailing Address - Fax:845-561-7006
Practice Address - Street 1:407 GIDNEY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3741
Practice Address - Country:US
Practice Address - Phone:845-561-7075
Practice Address - Fax:845-561-7006
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY217778207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02142634Medicaid
H35243Medicare UPIN
NYWWS531Medicare PIN
NY02142634Medicaid
NYDG0827Medicare PIN