1770634933 NPI number — MR. PERRY STEVEN SAVINO LCSW-R

Table of content: MR. PERRY STEVEN SAVINO LCSW-R (NPI 1770634933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770634933 NPI number — MR. PERRY STEVEN SAVINO LCSW-R

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAVINO
Provider First Name:
PERRY
Provider Middle Name:
STEVEN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-R
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770634933
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 S MONTGOMERY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALDEN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12586-1120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-231-4185
Provider Business Mailing Address Fax Number:
845-231-4185

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41 PEARL ST
Provider Second Line Business Practice Location Address:
2ND FLOOR #4
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12401-4552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-699-5216
Provider Business Practice Location Address Fax Number:
845-943-6092
Provider Enumeration Date:
01/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  027051 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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