Giovinco, Paul Damian

Giovinco, Paul Damian is an sole proprietor health care provider with primary practice located at 7127 Fresh Pond Rd , Ridgewood NY 11385-5918. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Giovinco, Paul Damian can be contacted via phone (718) 821-4097.

Contact Information

Primary practice address
7127 Fresh Pond Rd Ridgewood NY 11385-5918
Phone: (718) 821-4097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 002603 New York
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 002603 New York
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 002603 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 002603 New York

Profile Details

NPI number 1245319771
LBN Legal business name Giovinco, Paul Damian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1245319771 NPPES
New York MEDICAID 00419470

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