Provider Demographics
NPI:1366708232
Name:GIUSEPPINA J KENYON SAVARD DO PC
Entity type:Organization
Organization Name:GIUSEPPINA J KENYON SAVARD DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GIUSEPPINA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KENYON SAVARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:716-322-1644
Mailing Address - Street 1:7350 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-5705
Mailing Address - Country:US
Mailing Address - Phone:716-322-1644
Mailing Address - Fax:716-299-0775
Practice Address - Street 1:7350 PORTER RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-5705
Practice Address - Country:US
Practice Address - Phone:716-322-1644
Practice Address - Fax:716-299-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245534207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty