Provider Demographics
NPI:1497863336
Name:SAVITT, JOSEPH S (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:SAVITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6083 71ST ST
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2913
Mailing Address - Country:US
Mailing Address - Phone:718-446-7562
Mailing Address - Fax:718-205-8841
Practice Address - Street 1:6083 71ST ST
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2913
Practice Address - Country:US
Practice Address - Phone:718-446-7562
Practice Address - Fax:718-205-8841
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190233208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01716921Medicaid
NY01716921Medicaid
G44169Medicare UPIN