Provider Demographics
NPI:1396700977
Name:CAVUOTO, JOSEPH W (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:CAVUOTO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553
Mailing Address - Country:US
Mailing Address - Phone:516-483-8895
Mailing Address - Fax:516-483-4660
Practice Address - Street 1:1147 FRONT ST
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553
Practice Address - Country:US
Practice Address - Phone:516-483-8895
Practice Address - Fax:516-483-4660
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002567213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
275383OtherCIGNA
NYP29481OtherEMPIRE BLUE CROSS BLUE SH
AS5014OtherOXFORD
IC58321OtherHEALTH NET
NY0037779OtherGHI
002567C27OtherHEALTH FIRST
09222280004OtherHEALTHNOW NEW YORK INC
480013306OtherMEDICARE RAILROAD
AS5014OtherOXFORD
P29481Medicare ID - Type Unspecified