Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 2298 | NY |
NPI | 1396723649 |
---|---|
Provider Name | Dr. Myles Savitt |
First Address | Lake Ronkonkoma, NY 11779-4280 |
Second Address | Lake Ronkonkoma, NY 11779-4280 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 04/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T 50716 | (02) | NY |