Gaudino, Salvatore

Gaudino, Salvatore is an sole proprietor health care provider with primary practice located at 420 74Th St , Brooklyn NY 11209-2602. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Gaudino, Salvatore can be contacted via phone (718) 836-1017.

Contact Information

Primary practice address
420 74Th St Brooklyn NY 11209-2602
Phone: (718) 836-1017
Fax: (718) 836-9555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 005093 New York
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 02607 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 005093 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 02607 New Jersey

Profile Details

NPI number 1053402438
LBN Legal business name Gaudino, Salvatore
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Nov 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053402438 NPPES
New York MEDICAID 01803956

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